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Session Schedule

Find a specific presentation in the course by navigating to the timestamp indicated below.

0:00:00
Introduction

0:00:12
Preventing the voltage drop: Why implementation science matters
Suzanne Bertisch (United States)

0:18:45
Implementation strategies (particularly technology and optimization) to improve adoption, implementation, and sustainment of best practices in health.
Roman Xu (China)

0:38:25
Addressing sleep apnea post-stroke: A hybrid type I cluster-randomized trial--results and lessons learned from the US veterans health administration
Jason Sico (United States)

0:54:00
Sleep health challenges and opportunities: Focus on modifiable factors in African adults
Jesujoba Olanrewaju (Nigeria)

1:08:20
Implementing the implementable - progress in dispensing good sleep health in Australian community pharmacies
Bandana Saini (Australia)

1:27:41
Question and answer

Summary

Despite a robust evidence base for addressing sleep disorders and the World Sleep Society's endorsement of relevant clinical guidelines, there is a well-known 17-year practice gap in patient care and health-related public policy implementation. Such gaps also likely contribute to racial, ethnic, and socioeconomic disparities in sleep health across the lifespan, impacting countries worldwide. This 2-hr symposium will present exemplar translational research studies across four countries that aim to adapt, test, and/or implement sleep disorder treatments across clinical contexts, with an emphasis on care for persons from marginalized groups (e.g., economic minorities; U.S. Veterans), and implementation of wearables. Presenters will discuss how key aspects of Implementation Science research, including models and frameworks, hybrid and implementation trial designs and outcomes, implementation strategies, and community partnerships, were used to guide intervention adaptations and study design to implement evidence-based interventions to promote sleep health more equitably around the globe. Speakers will provide examples from current literature and their active sleep-related implementation science research.

This course will begin with a brief introduction by Chair Dr. Suzanne Bertisch (USA). Dr. Bertisch (Speaker 1) is a sleep physician and clinical researcher with NIH- and PCORI funding in sleep implementation science. She will provide an overview of implementation science, including defining implementation science and why it matters. She will also address what kinds of research fall under the umbrella of implementation science and when a sleep intervention is “ripe” for implementation, using illustrative examples from the sleep implementation science literature and her work (e.g., hybrid effectiveness trial comparing insomnia treatments for economically and racially marginalized adults). Next, Dr. Roman Xu, an implementation scientist and co-editor-in-chief of Implementation Science Communications (Speaker 2, China), will use his research as exemplars to illustrate implementation strategies, particularly those involving technology (AI and wearables) and the optimization of these technologies to strengthen clinician and patient adherence to best practices. Next, Dr. Jason Sico (Speaker 3, USA) will discuss how the syndemic of COVID-19 and the global Philips Respironics Positive Airway Pressure recall impacted a hybrid type I cluster-randomized stepped-wedge trial testing implementation strategies to improve obstructive sleep apnea care among US Veterans with cerebrovascular disease while focusing on how implementation and evaluation changed during throughout the trial. Mr. Jesujoba Olanrewaju (Speaker 4, Nigeria), a graduate student, will present formative evaluative work assessing context to inform design strategies to promote sustainable sleep health interventions that account for local resources, infrastructure, and community engagement in African settings. This presentation includes qualitative and quantitative data identifying key environmental factors and beliefs about sleep linked with sleep health in low-resource settings. Lastly, Dr. Bandana Saini (Speaker 5, Australia) will discuss her program of work where she has used the Knowledge to Action Framework (an implementation science framework) to guide research to improve sleep apnea and insomnia treatment provision by using the community pharmacy settings across Australia. The session will close with an interactive panel discussion and a summary of resources for continued education and collaborative opportunities in the area of sleep implementation science.