Office of Spread and Scale

Turning health research into action using implementation science.

The Office of Spread and Scale (OSS) uses implementation science to amplify successful models of care and innovative programs, while learning from the success of others.

  • Apply implementation science for health system improvement, particularly in primary care, and while using digital health innovations.
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  • Apply and advance user-centered design methodology to support the equitable inclusion of diverse perspectives. 
  • Evaluate existing health programs and services to understand if the. program/service is working, how it is implemented, and the potential for it to be applied in other settings or populations. 
  • Advance the methods of how to design, implement, evaluate, spread, scale, and sustain effective healthcare programs and services
  • Embed principles of health equity throughout our work. 
  • Click here to learn about some of our current projects.
  • Advise on the design, development, and implementation of new healthcare intervention using implementation science and co-design principles with an equity lens.
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  • Advise on how to spread and scale effective healthcare programs and services into new contexts and populations.
  • Guide policy-level decision on how to plan for spread and scale of existing programs and services.
  • Advise on how to embed a focus on sustainability and equity throughout a project.
  • Interested in working with us? Please contact oss@wchospital.ca
  • Supporting partnerships between individuals with lived experience, community representatives, and researchers. 
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  • Public implementation science discussion groups.
  • Delivery of introductory and advanced workshops.
  • Delivery of invited talks, webinars, and guest lectures
  • Numerous trainee. opportunities including graduate thesis projects and summer placements.
  • Click here to see opportunities for trainees.

Partners & Funders

Figure that says: "Our expertise includes: implementation science, digital health evaluation, health services research, health equity, sharing knowledge, sustainability, spread and scale, public policy, and additional expertise drawn from within and beyond WIHV as needed.

Select each image below to learn more about members of our team!

Noah is a scientist at Women’s College Hospital Research and Innovation Institute and adjunct scientist at IC/ES. He is also a family physician at Women’s College Hospital (WCH) and an assistant professor in the Department of Family and Community Medicine at the University of Toronto. Recently receiving the New Investigator Award from the Canadian Institutes of Health Research, Noah is leading change that will make a difference for patients and families across Ontario.

@NoahIvers

Celia Laur is a scientist at Women’s College Hospital Research and Innovation Institute and an assistant professor in the Institute of Health Policy, Management and Evaluation at the University of Toronto. As an implementation scientist and health services researcher, Dr. Laur strives to progress the field of transforming research findings into practical applications within clinical settings, aiming to benefit both patients and the general public.

Her focus on how to sustain, spread and scale effective interventions supports the Office of Spread and Scale in achieving their aim of amplifying and sustaining successful models of care and innovative programs. Throughout her work, she applies a breadth of methodological skills across health disciplines and care settings, while working in partnership with clinicians, lived experience advisors, and health system decision makers.

@Celia_Laur

Aisha is a scientist at Women’s College Hospital Research and Innovation Institute, adjunct scientist at IC/ES, and an associate professor in the Department of Family and Community Medicine at the University of Toronto. She currently holds a New Investigator Award from the Canadian Institutes of Health Research, and holds the Chair in Implementation Science at the Peter Gilgan Centre for Women’s Cancers at Women’s College Hospital in partnership with the Canadian Cancer Society.

Aisha is also the Provincial Primary Care Lead, Cancer Screening at Cancer Care Ontario (Ontario Health). Her research program focuses on improving quality of care in cancer screening and prevention, particularly for populations that experience marginalization.

@AKLofters

Dr. Onil Bhattacharyya MD, PhD is the Frigon Blau Chair in Family Medicine Research at Women’s College Hospital, and director of the Institute for Health Systems Solutions and Virtual Care. He is the lead for the Centre for Digital Health Evaluation and the co-chair of the Canadian Primary Care Research Network funded by CIHR. He practices family medicine and is an Associate Professor in the Department of Family and Community Medicine and the Institute of Health Policy, Management and Evaluation at the University of Toronto. He has been a Harkness Fellow in Health Care Policy at the Commonwealth Fund in New York City and a Takemi Fellow at the Harvard School of Public Health.

@BhattacharyyaO

Jennifer Shuldiner is a scientist at Women’s College Hospital. Her interests and methodological expertise lie in improving the health system through thoughtful design and rigorous evaluation to enable real-time improvements. She integrates a human-centered design approach, behavioural science, implementation science, and mixed methods to design, implement, and evaluate programs aimed at improving patient outcomes and experiences. Jennifer is passionate about the co-production of research to facilitate the development and implementation of effective, patient-centered, and provider-centered innovations. She has worked with a diverse range of collaborators and guides methods to inform the design, delivery, and evaluation of innovative health solutions.

@JennShuldiner

Mina is an assistant professor at the Leslie Dan Faculty of Pharmacy at the University of Toronto and the Tier 2 Canada Research Chair in Real-world Evidence and Pharmaceutical Policy. He is also a Scientist at WCH, a WIHV Fellow, co-director with the Ontario Drug Policy Research Network (ODPRN) and an ICES adjunct scientist. He completed a PhD in pharmacoepidemiology at the University of Toronto and previously completed a Masters in Health Outcomes and Policy Research at the University of Tennessee, and a Doctor of Pharmacy at Albany College of Pharmacy. He also completed a pharmacy residency in Drug Information and Health Outcomes at the University of Tennessee and St. Jude Children’s Research Hospital. Mina leads research focused on evaluating drug policies and post-marketing surveillance of medications. He works closely with policymakers and uses large data sets to answer questions about medication real-world safety and effectiveness and improving the optimal use of medications.

Zeenat Ladak has been a doctoral trainee with the Office of Spread and Scale since 2022. Zeenat has a growing interest in the equity-oriented practice of research and evaluation in implementation science and also co-leads the coordination, promotion, and facilitation of the monthly OSS implementation science discussion groups.

Zeenat is currently completing her PhD at the University of Toronto in the department of Applied Psychology and Human Development. Her research interests span across implementation science, health equity, maternal and child health, and medical education. Zeenat’s current doctoral work explores equity in prenatal healthcare, with a goal of identifying challenges and plausible solutions to improve health equity.

Daphne is completing her PhD in Health Systems Research at the Institute of Health Policy, Management and Evaluation at the University of Toronto. She is also a trainee in the Office of Spread and Scale at the Women’s College Institute for Health Systems Solutions and Virtual Care where her work centres around developing an intervention to support community pharmacists in delivering minor ailments services more effectively. Her research interests are in implementation science, health professional behaviour change, and designing and evaluating complex interventions. Her clinical training is in chiropractic, and she is an assistant professor at the Canadian Memorial Chiropractic College with an interest in teaching skills in evidence-based practice.

Cherry is a Biostatistician providing statistical support to teams across the hospital. She received her Bachelor of Science Honours in Life Sciences at Queen’s University and a Master of Science in Epidemiology at McGill University. At Women’s, her work has included leading and supporting ICES and CIHI studies to answer important research questions while leveraging population health data. She also advises various project teams on quantitative analytical methods, and has experience analyzing data from a variety of sources, ranging from survey and vendor data, to clinical records.

Natasha is the Manager of the Office of Spread and Scale at WIHV, where she oversees multiple research portfolios and leads a diverse team of scientists, staff, trainees, and lived experience advisors. With over 7 years of experience at WIHV, she specializes in project management, financial oversight, strategic planning, and qualitative research. Natasha is also a part-time PhD student at the Institute for Health Policy, Management and Evaluation, focusing on Organization and Management. She holds a Master of Public Health from the University of Toronto’s Dalla Lana School of Public Health and an Honours Bachelor of Health Sciences from Western University.

Kimberly Devotta is a Research Manager for Dr. Aisha Lofters. She manages projects focused on cancer screening and chronic disease prevention. In this work, she uses implementation science theories and community engagement to better understand and improve screening participation, as well as access to healthcare and social supports. She recently completed her PhD in Social and Behavioural Health Sciences in the Dalla Lana School of Public Health (University of Toronto) where she used concept mapping to understand how the lives and experiences of South Asian women impact cervical screening. Her training is primarily in qualitative and mixed-methods.

Laura Oliva is a Research Coordinator with the Office of Spread and Scale, where she works under the guidance of Dr. Celia Laur to manage research projects, coordinate data collection efforts, and collaborate with a multidisciplinary team to drive healthcare innovation. With over 8 years of experience in diverse research settings, and a Master’s degree in Health Services Research from IHPME at University of Toronto, Laura brings a unique blend of robust quantitative skills and comprehensive research project management capabilities. This dual proficiency enables her navigation of complex, multidisciplinary healthcare research landscapes, contributing to successful outcomes and streamlined project management with the OSS.

Anjana is the Evaluation Specialist for the BETTER Women research study, bringing over six years of experience in healthcare services planning, research management, strategic planning, and data analysis. She has successfully led multiple research portfolios, working closely with a diverse team of scientists and staff. A dedicated research professional, Anjana is committed to achieving meaningful outcomes through her expertise in health services research, policy analysis, project management, and program implementation. She excels in applying evidence-based methodologies, conducting tailored assessments, and evaluating program effectiveness to drive positive health outcomes. Her work is guided by a deep understanding of the social, economic, and environmental factors that shape health outcomes.

Aranee is currently a Research Coordinator working primarily with the BETTER Women team. She is also an MA student in the Counselling Psychology program at the University of Ottawa. With over four years of experience working in several mixed-methods settings, Aranee has a particular interest in community-based participatory research, interpersonal relationships, and mental health inequities. She aims to continue working under a scientist-practitioner model.

Rochelle is a research assistant on WIHV’s implementation science team primarily supporting the BETTER Women project where she is involved in participant facing activities such as, survey administration, qualitative interviews, data-focused activities, and engagement with external stakeholders involved in the project. Rochelle is currently pursuing a Master’s in Clinical Counselling and holds a degree in Communication Studies as well as a postgraduate certificate in Research Analysis.

Cindy Vieira is a recent graduate of the University of Toronto, where she completed a Master of Science (MSc) in Health Services Research (Health Policy) from the Institute of Health Policy, Management and Evaluation (IHPME). During her graduate studies, she pursued a collaborative specialized in Women’s Health through that integrated critical research on gender, health, and policy.

Throughout Cindy’s academic journey, she gained valuable experience as a Research Student on the Digital Bridge project, working under the guidance of Dr. Carolyn Steele Gray at Sinai Health. Cindy also served as a Research Coordinator for the Build Back Better from Below (B4) Project, collaborating with Dr. Suzanne Sicchia.

Emily Nicholas Angl is an independent consultant and researcher specializing in patient and public engagement. During her own complex ‘patient journey’ Emily became curious about if, how and why patients should be engaged in health care and research. Over a span of 15 years working with hospitals, government agencies, research institutions and other organizations across Canada, Emily gradually shifted from being an eager ‘patient partner’ to taking a more critical, reflective approach to engagement of people with lived experience.

Emily’s work includes research associate roles in labs and Family Health Teams, and freelance positions with user-centred design and health communication companies. She has held advisory roles at Ontario Health Quality (formerly Health Quality Ontario), The Canadian Medical Association Journal (CMAJ) Collection for Patient Oriented Research, The Women’s College Hospital Institute for Health System Solutions and Virtual Care (WIHV) and University Health Network’s (UHN) Social Medicine Program. She is currently co-producer, along with Jennifer Johannesen, of Matters of Engagement – a podcast that critically explores patient engagement and partnership. She also has a lead role with Evans Health Lab, which creates accessible, informative and creative health education materials.

External Collaborators

  • Alyssa Kelly (University of Toronto)
  • Joshua Porat-Dahlerbruch (University of Pittsburg)
  • Katherine Ford (University of Waterloo)
  • Michelle Nadler (University Health Network)
  • Nathan Solbak (University Health Network)
  • Priscilla Medeiros (SickKids Hospital)
  • Sam Petrie (Nova Scotia Health)
  • Tolulope Ojo (University of Toronto)

Contact us at oss@wchospital.ca to learn more about how we can help you achieve impact.

Our team works across topic areas and healthcare settings, while maintaining our focus on turning health research into action using implementation science.

Here are some examples of our work:

Planning for Spread and Scale with Ontario Health 

In collaboration with the Centre for Digital Health Evaluation, we have consulted with Ontario Health on the potential for sustainability, spread, and scale of promising new digital health initiatives.


Contact Celia Laur, Scientist, for details.

oss@wchospital.ca 

Sustainability Planning of a National Network 

The ChildBright Network is a pan-Canadian patient-oriented research network that works to create brighter futures for children and youth with brain-based developmental disabilities and their families. 

This project is using implementation science to explore the perspectives of ChildBright members about what aspects of the Network should be continued long term. What we learn is being used to inform ChildBright’s plans for the future. 

Contact Zeenat Ladak, PhD candidate at the University of Toronto, for details.

oss@wchospital.ca

BETTER Women

BETTER Women supports women aged 40-68 to take control of their health so they can prevent chronic disease, including cancer. The program offers personalized medical advice about chronic disease prevention and virtual access to a peer health coach who  is trained to help women reach and maintain their health and cancer screening goals.

Contact BETTERWomen@wchospital.ca for details.

Funded by Public Health Agency of Canada

Canadian Rheumatology Implementation Science Team (CAN-RIST)

As part of the CIHR Transforming Health with Integrated Care (THINC) initiative, our team is dedicated to building implementation science expertise and capacity in rheumatology. We focus on developing methods and strategies that promote the integration of evidence-based practices and research into routine use by practitioners and policymakers.

Check out our newsletter!

We have open opportunities for trainees! Contact Celia Laur, Scientist, for details.

oss@wchospital.ca

ONLOOP: Supporting childhood cancer survivors

Childhood cancer survivors face lifelong health risks, such as secondary cancers and heart failure from their cancer treatments, yet many survivors do not undergo recommended tests like mammograms or echocardiograms as adults.

To address this, we collaborated with childhood cancer survivors, family doctors, and health system partners to design ONLOOP – a provincial support system for high-priority surveillance tests. The design process involved qualitative research, stakeholder workshops, and developing prototypes.

Contact Jennifer Shuldiner, Scientist, for details. 

Jennifer.Shuldiner@wchospital.ca

Funded by CIHR

Supporting the Face of Primary Care

Medical office assistants play a crucial role in healthcare, but in Canada, they often lack standardized training and career advancement opportunities despite growing demands on their work.

Our team is working with medical office assistants to learn more about their roles, the tasks they complete, and ways that they can be better supported. This project uses co-design methodology including a series of workshops with medical office assistants, policymakers, and provincial collaborators.

Contact Jennifer Shuldiner, Scientist, for details. 

Jennifer.Shuldiner@wchospital.ca

Funded by CIHR

Planning for a Sustainable and Scalable Intervention in Schools

In collaboration with SickKids, we developed and piloted a potentially sustainable and scalable program to support early diagnosis of diabetes in children in schools across Canada. Co-developed materials include a poster and brief video for school staff, and an infographic for healthcare professionals to be able to recognize the signs of diabetes and take appropriate action.

Contact Celia Laur, Scientist, for details.

oss@wchospital.ca

Funded by Diabetes Canada

Academic detailing for diabetes patients

The Centre for Effective Practice (CEP) is one of the leading independent healthcare behaviour-change partners in Canada. CEP develops evidence-based tools, resources and programs to ensure healthcare providers have the information needed to deliver high-quality care. One of the services provided by CEP is academic detailing, an interactive educational outreach program that enables 1-on-1 discussions with a clinical pharmacist about evidence-based best practices in medication prescribing and other therapeutic decisions. This project leverages Ontario health administrative data from ICES to evaluate the effect of academic detailing by comparing various care indicators and prescribing and cost outcomes for diabetes patients among primary care physicians who received academic detailing versus those who did not.

Contact Mina Tadrous for details.

mina.tadrous@wchospital.ca

Funded by CEP

Advancing Research on Audit and Feedback 

Audit & Feedback (A&F) is any summary of clinical performance of healthcare provided over a specified period of time. The A&F MetaLab team, led by Dr. Noah Ivers, is conducting a comprehensive review to evaluate the impact of Audit & Feedback interventions:

  • Protocol for the updated review [LINK]
  • Paper (2023): Sustainability, Spread & Scale of Audit & Feedback Interventions [LINK]
  • Original Review Paper (2012): Audit and Feedback – Effects on Professional Practice and Healthcare Outcomes [LINK]

Formerly based at the Ottawa Hospital Research Institute (OHRI), the A&F MetaLab will be moving to WCH in early 2025!

A header that reads: While we encourage you to explore these resources, this page is by no means exhaustive. We are happy to provide more tailored resources to support your specific project—just email us at oss@wchospital.ca.

Contents


Engaging People with Lived/Living Experience in Implementation Science

Infographics

Frequently Asked Questions (FAQ)

The field of implementation science aims to close the “know-do gap”, which is the gap between what we know from research and evidence, and what is actually done in real life. 

There are many reasons why research takes a long time to be used. For example, it could be that:

  • The change does not match with the priorities of an organization or the healthcare system
  • There is no funding to pay for the change
  • It’s difficult for people to change the way they work
  • Societal factors – such as income, support systems, and living conditions – shape how care is delivered and received
  • And many more reasons!

Implementation science aims to identify and understand these barriers and find ways (usually called “facilitators” or “enablers”) to overcome them.

The academic definition of implementation science is:

“The scientific study of methods and strategies that facilitate the uptake of evidence-based practice and research into regular use by practitioners and policymakers”[Source].

Other definitions can be found here.

You can watch these videos to learn more about implementation science for youth by youth. https://www.child-bright.ca/ed-material 

The way we talk about implementation science can get confusing. For this reason, we use the words “implementation-focused” work in this document to describe any project or research that aims to get people to use research (to close that gap between what we know and what we do).5

 

The intervention/practice/innovation is THE THING Effectiveness research looks at whether THE THING works Implementation research looks at how best to help people/places DO THE THING Implementation strategies are the stuff we do to try to help people/places DO THE THING Main implementation outcomes are how much and how well they DO THE THING

Source

The “intervention” or “practice” or “innovation” is what you are trying to implement. Options for what these could be are summarized as the 7 P’s:

  • Programs (e.g. cognitive behavioral therapy)
  • Practices (e.g. hand washing) 
  • Principles (e.g. prevention before treatment)
  • Procedures (e.g. screening for depression) 
  • Products (e.g., app for exercise)
  • Pills (e.g. PrEP to prevent HIV infection) 
  • Policies (e.g. limit prescriptions for opioids)

Source

Many individuals and groups may work together on implementation-focused projects. Each team will be different. Examples of team members may include: 

Individuals with lived/living experience, including caregivers

Partnering with individuals who will benefit from or are affected by what is being implemented is important. 

  • E.g. A caregiver of a person living with a disability providing feedback on a new program that aims to support caregivers.

Community members

People in the community who can either drive the process or provide feedback on what works best for them.

  • E.g. A resident of a rural area who provides input on healthcare access issues in their community.

Healthcare professionals

Physicians, nurses, and other clinicians who adopt and deliver the practices.

Organizational Staff and Administrators

All of the people involved in supporting the delivery of care by clinical staff.

  • E.g. An office manager who is involved in setting up a new system for communicating with patients. 

Researchers

Individuals who study how to best implement evidence-informed practices and/or have clinical or methods expertise on the topic.

Representatives from healthcare organizations

Individuals representing hospitals, clinics, and other healthcare settings where the practices will be used.

Policy makers

Individuals whose decisions impact the wider healthcare system.

  • E.g. A health department official that helps decides which programs will be funded in the next provincial budget.

Funders

Representatives from organizations who are paying for the project.

Others who may be involved based on the needs of the project. 

  • E.g. A technology developer who created a digital tool for people living with arthritis and to track their symptoms

To see if our work is helping the healthcare organization or system, we can focus on any or all of these aims: 

  1. Improve patient experience
  2. Improve clinician experience
  3. Improve patient outcomes and population health
  4. Reduce healthcare costs 
  5. Improve health equity

Within each aim, there are questions within specific categories (called “outcomes”) that can be asked, such as if the program is “acceptable”, “appropriate” or “effective”. The Implementation Outcomes Repository includes definitions about the most commonly used outcomes and can help your team decide what questions to ask to show if the change you are making is having the benefit you want. 

A big part of implementation science is using and developing implementation theories, models and frameworks. Theories, models, and frameworks are specific guides that help us add structure to our implementation plans. Some of these guides:

  • Provide step-by-step instructions for how to implement a new program;
  • Help you identify and organize the barriers that could make (or are making) it more difficult for you to implement your program, and ways to overcome those problems (“facilitators”);
  • Provide a guide to help evaluate if the program is doing what it is supposed to do (i.e., does it improve patient care?). 

More information about specific theories, models, and frameworks is here

Clinical research focuses on studying whether a treatment or intervention works. It usually happens in a controlled environment, like a research lab or a clinical trial, to see if a new intervention (e.g., medication, technology, practice) is safe and effective.

Implementation-focused research, on the other hand, focuses on how to get those interventions that we know work, into everyday practice. Implementation-focused work also aims to remove outdated practices or those that do not work (called “deimplementation”). Researchers also study the process of changing practice and use that to inform implementation-focused research in other areas. 

So, while clinical research asks, “Does it work?” implementation-focused research asks, “How can we make it work in the real world?”

A roadmap starting close to "clinical research" and ending at "implementation science", asking important questions along the way, i.e. "does the practice work in a controlled setting?, "can the practice work in real life", "what makes the practice easier/harder to use?","how can we adjust the practice for different places/people?", "how can we get people to use it regularly and in more places?"

Source

Individuals with lived experience bring a unique perspective that can help researchers and those who use the research to understand the needs and priorities of patients and the public. Many of the reasons for engaging individuals with lived experience in implementation-focused work are the same as for engaging in any research – but it’s particularly important when trying to implement a new program or service that impacts patients.  

There are many reasons to get involved in implementation-focused work, such as:

  • Influence Change: Your questions and perspectives may help improve the use of healthcare services and help support evidence-informed practices to be used in real-life (helping bridge the gap between research and real-world practice). You may also be able to play a role in shaping how healthcare is delivered.
  • Support Others: Your participation may help improve care for others who face health challenges, making a positive impact on the community.
  • Gain New Skills: Engaging in implementation-focused research can provide opportunities for learning and personal growth, including gaining new skills and knowledge, and increasing your network.
  • And many more reasons!

Sometimes. You may not always need to have personal experience with a specific condition to be involved in implementing the program. Direct experience can be helpful, and necessary, in many projects, but there are also other ways where your input can still be meaningful if you don’t have direct experience.  

Being involved in this type of work might also mean that you need to think beyond your personal experience. For example, that might mean considering what might benefit a whole organization or a whole province.

Engagement of individuals with lived experience in implementation-focused research is very similar to engagement in other types of research. The specific requirements are always dependent on the specific project and team. Clarifying your role is an important conversation to have as a team near the beginning, and throughout, the project. More information about effective engagement can be found HERE.

There are also some challenges unique to implementation-focused research. Implementation-focused research can be a bit “messier” than other research as we are focused on making changes in the real world with real people. Plans may need to change to account for the many other changes happening in the system, organization, or team. For example, if you are implementing a new program, but the person who is leading the change for you at one hospital takes a new job, the team may need to change their plans to identify and train a new person to champion the change. Researchers try to be as structured as they can, but the aim of the work is to put research into practice, and that may require adapting the plan. 

Typically, you do not need to understand implementation science to participate in an implementation-focused project. Your willingness to ask questions, share your perspectives, and participate in discussions is an important part of the process. The people who you work with should provide the necessary background and training you will need throughout the project. 

At Women’s College Hospital, we conducted a 4-year study focused on improving how physicians prescribe opioids to their patients. Our research team worked closely with individuals with lived experience who were involved in developing patient-facing recruitment material, informing the analysis of results, and were a regular reminder of the real-world impact of this work. For example, one of the patient handouts that was co-designed with patients and praised by some physicians we interviewed, was found by individuals with lived experience to be objectifying and lacking nuance, which further highlighted how the same material can be received in different ways. 

This was a particularly complex project as we had to figure out the role of individuals with lived experience in understanding this intervention which was designed for physicians.

You can read a paper we wrote about our experience HERE or listen to a podcast that covered the project HERE.

Contact organizations directly

If you find a specific research project or network that sounds interesting, check their website to see how you can get involved.

If you don’t know what type of organizations you can work with, here are some Canadian organizations to get you started: 

    1. Patient Advisory Network
    2. Canadian Institutes of Health Research “Strategy for Patient Oriented Research” Networks. These networks focus on a specific topic and actively engage individuals with lived experience throughout the Network: 
      1. CHILD-BRIGHT Network
      2. Chronic Pain Network
      3. Diabetes Action Canada
      4. Inflammation, Microbiome, and Alimentation: Gastro-Intestinal and Neuropsychiatric Effects: the IMAGINE-SPOR Chronic Disease Network
      5. Listening, Learning, Leading: Canadians Seeking Solutions and Innovations to Overcome Chronic Kidney Disease (Can-SOLVE CKD)
      6. SPOR Primary Care Research Network
      7. Youth and Adolescent Mental Health – ACCESS Open Minds

Most provinces in Canada have a Strategy for Patient Oriented Research (SPOR) Support Unit

See listed opportunities HERE.

 

Still can’t find what you’re looking for? Connect with us! If you have any questions or want to be involved, email us at: oss@wchospital.com

For Researchers

Title - Implementation Science Discussion Group

Once a month, we a public online discussion group that provides an opportunity for people to discuss a key topic or paper with peers and experts in the field of implementation science.

No experience or expertise in implementation science is necessary as we will always have a place for people who are new to the field!

PAST EVENTS

Select “Details” below each session for a short description and links to the slide deck and/or session recording.

Topic: Uncomfortable conversations in implementation science
Speakers: Nida Shah & Shewit Buzuayne
Details

Title: Uncomfortable Conversations in Implementation Science
Date: 29-Mar-2022

Nida Shah and Shewit Buzuayne highlight navigating difficult discussions and systemic barriers in applying evidence-based interventions, using examples like differing COVID-19 responses.

Slide deck

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Title: Planning for Sustainability
Date: 15-Nov-2022

Zeenat Ladak and Celia Laur explore strategies to ensure long-term success of evidence-based interventions.

Slide deck

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Title: Rural Spread and Scale
Date: 10-Feb-2023

Sam Petrie discusses strategies for improving rural spread and scale in healthcare, including a principled design approach that incorporates “antifragility,” the ability of a system to benefit from uncertainty.

Slide deck

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Title: Fidelity Monitoring
Date: 28-June-2023

Avra Selick and Janet Durbin discuss fidelity monitoring as a core strategy for assessing implementation of new practices and supporting sustainability. They will provide a brief overview of fidelity monitoring strategies, review examples of how we have measured fidelity in different projects, and discuss the value and challenges of fidelity monitoring.

Slide deck

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Title: Spread & Scale in Healthcare
Date: 01-Nov-2023

Julie MacInnes shares examples of spread and scale of healthcare innovations and compared and contrasted what worked well and what could have been improved..

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Presentation recording

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Title: CFIR 2.0
Date: 16-Feb-2024

Shari Rogal discusses the CFIR 2.0 framework.

Presentation recording

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Title: Curiosity & Collaboration – Let’s Chat About Implementation Science
Date: 19-June-2024

Noah Ivers, Celia Laur, and Zeenat Ladak lead an informal, open session to allow individuals interested in implementation science (novice to expert) from across the globe to share, ask questions, and collaborate with one another.

Presentation recording

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Title: Navigating Meaningful Patient Engagement
Date: 13-Nov-2024

Linda Nguyen, Jessica Havens and Kinga Pozniak share how an email testimonial from a young adult patient partner on one of their projects led to the research team to not only reflect on but also improve their partnership processes with people with lived experience.

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Presentation recording

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Title: Implementation & Evaluation
Date: 26-Apr-2022

Joshua Porat-Dahlerbuch and Celia Laur provide a brief overview of key factors involved when assessing an intervention’s success and uptake.

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Title: Methods for Capturing and Analyzing Adaptations: Implications for Implementation Research
Date: 07-Dec-2022

Dr. Jodi Summers Holtrop discusses the nuances and complexities of adaptations, and describes considerations to better capture and characterize the impact of intervention adaptations.

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Title: ERIC Sustainability Glossary
Date: 13-Mar-2023

Nicole Nathan and Alix Hall discuss the development and significance of a refined Expert Recommendations for Implementing Change (ERIC) sustainability glossary.

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Title: Implementation Art Gallery
Date: 21-Sep-2023

This session featured John Gabbay & Andrée Le May as they walked through their innovative education resource, the Implementation Art Gallery. The gallery is meant to help people and teams implement research through practical methods. Users can go into as much or as little depth as they need in developing their understanding and skills.

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Title: Defining Re-Implementation
Date: 16-Jan-2024

Christina Yuan and Rachel Moyal-Smith discuss re-implementation, the systematic process of reintroducing an intervention in the same environment, often with some degree of modification
to either the intervention itself or the implementation strategies used to promote uptake.
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Presentation recording

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Title: Implementation Framework Overload – Where to Start?
Date: 06-Mar-2024

Avra Selick and Janet Durbin discuss ways to choose the best implementation science framework for a given project or initiative.


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Title: Incorporating Health Equity Domains in Implementation Determinant Frameworks
Date: 24-Sep-2024

Sonia Singh discusses how to consider and integrate health equity domains into formative evaluations using implementation determinant frameworks.

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Presentation recording

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Title: Implementation science & Behaviour Change
Date: 26-Oct-2022

Andrea Patey discusses Implementation Science and Health Professional behaviour change: what they are and the value of using a behaviour science perspective in implementation science.

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Title: Evaluating for Longevity in Innovation
Date: 25-Jan-2023
Dr. Deena M. Hamza discusses the Eco-Normalization framework and its application in the longevity of innovations and they will describe the importance of reflexive monitoring to adapt innovations to social and cultural influences.

Details

Title: Implementation Science Research Development Tool and Guide
Date: 09-May-2023

Louise Hull discusses the development and application of the implementation science research development (ImpRes) tool as it relates to conducting high-quality implementation research.

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Title: Normalization Process Theory
Date: 17-Oct-2023

Carl May discusses how Normalization Process Theory can help to understand the work of implementation.

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Title: Intersectionality
Date: 01-Feb-2024

Cole Etherington discusses aspects related to intersectionality in implementation science.

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Title: Effectiveness-Implementation Hybrid Designs
Date: 11-Apr-2024

Sara Landes provides an overview of effectiveness-implementation hybrid designs, when to use this type of study design and how combining clinical effectiveness and implementation research can enhance impact.

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Title: Typology of Approaches for Sustained Health Interventions
Date: 09-Oct-2024

Adam Shoesmith covers an initial typology of approaches to plan for and achieve the sustainment of health interventions.

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We work with lots of trainees! Contact us if you are interested in applying for a graduate program or placement opportunities. oss@wchospital.ca

Current Trainee Opportunities 

Are you interested in rheumatology and musculoskeletal conditions? We have funding for trainees to join our CIHR Transforming Health with Integrated Care (THINC) which focuses on applying implementation science in the development of an interdisciplinary model of care within rheumatology. Click here to learn more about this work. Contact oss@wchospital.ca for details.

Ongoing Trainee Opportunities

Women’s College Hospital offers specific opportunities for trainees:

We are strong supporters of the CIHR Health System Impact Fellowship program! Contact us at oss@wchospital.ca to learn more.

All employment positions are posted through Women’s College Hospital. Please click here to see current opportunities. https://www.womenscollegehospital.ca/careers/

We provide consultation services for work at any stage, including project planning, identifying barriers and facilitators to implementation, advising on implementation science methodology, and helping you to plan for spread and scale. We will work with you and your team to identify a model of service that best suits your needs.

See the ‘Our Work’ tab for examples of some of our research and consulting projects.

Our services are available to those within and outside of Women’s College Hospital.

Contact us at oss@wchospital.ca to learn more about how we can help you achieve impact.

Have Questions or Need More Information? We’re here to help! For general inquiries about our work, events, or initiatives, please reach out to us at oss@wchospital.ca. We look forward to connecting with you!