Diffusion Theory and Knowledge Dissemination, Utilization, and Integration in Public Health

Green, Lawrence W.; Ottoson, Judith M.; García, César; Hiatt, Robert A.

doi:10.1146/annurev.publhealth.031308.100049

Cited by 953Health Policy Implementation ScienceHealth Sciences Research and EducationPublic Health Policies and Education

Diffusion Theory and Knowledge Dissemination, Utilization, and Integration in Public Health

Green, Lawrence W., Ottoson, Judith M., García, César, Hiatt, Robert A.·2009·Annual Review of Public Health

DOI 10.1146/annurev.publhealth.031308.100049

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Abstract

Legislators and their scientific beneficiaries express growing concerns that the fruits of their investment in health research are not reaching the public, policy makers, and practitioners with evidence-based practices. Practitioners and the public lament the lack of relevance and fit of evidence that reaches them and barriers to their implementation of it. Much has been written about this gap in medicine, much less in public health. We review the concepts that have guided or misguided public health in their attempts to bridge science and practice through dissemination and implementation. Beginning with diffusion theory, which inspired much of public health's work on dissemination, we compare diffusion, dissemination, and implementation with related notions that have served other fields in bridging science and practice. Finally, we suggest ways to blend diffusion with other theory and evidence in guiding a more decentralized approach to dissemination and implementation in public health, including changes in the ways we produce the science itself.

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It can take 15-20 years for research evidence to be translated into widespread clinical or public health practice.
“it has been estimated that it can take 15–20 years for research evidence to be translated into widespread clinical or public health practice.14 15”
From Mapping evidence on implementation research in oral health: a global scoping review protocol (2026) · cites this paper as [15]

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Self-citation
Principles and Applications of Cancer Prevention and Control Interventions
Hiatt, R. A., & Rimer, B. K. (2006) · doi:10.1093/acprof:oso/9780195149616.003.0067 · Cited by 6 · see citing works
Self-citation
Did They Use It?
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Self-citation
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[New strategy for cancer control].
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Assessing citation networks for dissemination and implementation research frameworks
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Designing for diffusion: How can we increase uptake of cancer communication innovations?
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Authors: Green, L. W., Ottoson, J. M., García, C., & Hiatt, R. A.
Affiliations: University of California, San Francisco (US)
San Francisco State University (US)
Central Washington University (US)
ORCID: García, César
Hiatt, Robert A.
Venue: Annual Review of Public Health
Publisher: Annual Reviews
Published: 2009-04-01
Volume: 30
Issue: 1
Pages: 151-174
ISSN: 0163-7525 (ISSN-L)
1545-2093
DOI: 10.1146/annurev.publhealth.031308.100049
OpenAlex: W2169242778
Cited by: 953
References: 125
Citations by year: 2026: 24 · 2025: 48 · 2024: 77 · 2023: 64 · 2022: 63 · 2021: 74 · 2020: 72 · 2019: 68 · 2018: 51 · 2017: 93 · 2016: 53 · 2015: 67 · 2014: 51 · 2013: 41 · 2012: 42
FWCI: 6.14
Type: journal article
Language: en
Open access: closed
Locations: Annual Review of Public Health (publishedVersion)
PubMed (publishedVersion)
ScholarWorks (Central Washington University) (submittedVersion)
Topics: Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
Health Sciences › Health Professions › General Health Professions › Public Health Policies and Education
Keywords: diffusion theory, knowledge dissemination, evidence use, evidence-based practice, implementation research, research-practice gap, public health research, research translation, research output
MeSH terms: Community Health Services, Diffusion of Innovation, Health Policy, Humans, Interinstitutional Relations, Social Support, United States, Public Health Practice, Knowledge, Information Dissemination, Evidence-Based Practice

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Diffusion Theory and Knowledge Dissemination, Utilization, and Integration in Public Health

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