Dissemination Profile

Click on underlined words for definition.
1. Describe your project or program
Project name:
Funding:
Timeframe:
Keywords:
Primary aim:
Implementing agencies:
Intended audience:
2. When do you anticipate having products or processes available?
month : year :
3. What is the primary objective of your dissemination effort? (Please select one.)
Increase knowledge
Promote positive behavior change
Increase use of evidence-based program
Change clinical practice
Promote organizational change
Implement policy
Other, specify
Are there secondary objectives?
Yes
No
If yes, what are the secondary objectives of your dissemination effort?
Increase knowledge
Promote positive behavior change
Increase use of evidence-based program
Change clinical practice
Promote organizational change
Implement policy
Other, specify

Questions from 4 to 9 will give you the opportunity to enter information on up to 5 products. Please start with the first.

Product 1
4. What is the nature of your product? (Please select one.)
Adaptation of an existing program to a new target audience
New program
New curricula, materials
New processes/methods
New technology
White paper/report
New policy approach
Other, specify
5. Who are the primary “users”? (Please select maximum of two target groups)
Scientific community
Educators
Public health practitioners (e.g., governmental public health)
Health care managers
Community or voluntary agency
Policy makers
General public
6. How will the effectiveness/quality of the product be evaluated prior to dissemination ? (Please select one.)
Experimental study
Quasi-experimental study
Peer review
No Peer review
Qualitative methods
Other, specify
7. Describe how the product(s) is innovative? (Please describe it with 40 words or less)
8. When will the product(s) be available for dissemination ?
month : year :
9. How will the product be disseminated? (Please select all that apply.)
Journals
Books
Presentations (scientific or community)
Newsletters
TV/Radio
Newspapers, newsletters
Website/interactive CD
Workshop/training
Academic courses
Other, specify
if you don't have another product click here
Product 2
4. What is the nature of your product? (Please select one.)
Adaptation of an existing program to a new target audience
New program
New curricula, materials
New processes/methods
New technology
White paper/report
New policy approach
Other, specify
5. Who are the primary “users”? (Please select maximum of two target groups)
Scientific community
Educators
Public health practitioners (e.g., governmental public health)
Health care managers
Community or voluntary agency
Policy makers
General public
6. How will the effectiveness/quality of the product be evaluated prior to dissemination ? (Please select one.)
Experimental study
Quasi-experimental study
Peer review
No Peer review
Qualitative methods
Other, specify
7. Describe how the product(s) is innovative? (Please describe it with 40 words or less)
8. When will the product(s) be available for dissemination ?
month : year :
9. How will the product be disseminated? (Please select all that apply.)
Journals
Books
Presentations (scientific or community)
Newsletters
TV/Radio
Newspapers, newsletters
Website/interactive CD
Workshop/training
Academic courses
Other, specify
if you don't have another product click here
Product 3
4. What is the nature of your product? (Please select one.)
Adaptation of an existing program to a new target audience
New program
New curricula, materials
New processes/methods
New technology
White paper/report
New policy approach
Other, specify
5. Who are the primary “users”? (Please select maximum of two target groups)
Scientific community
Educators
Public health practitioners (e.g., governmental public health)
Health care managers
Community or voluntary agency
Policy makers
General public
6. How will the effectiveness/quality of the product be evaluated prior to dissemination ? (Please select one.)
Experimental study
Quasi-experimental study
Peer review
No Peer review
Qualitative methods
Other, specify
7. Describe how the product(s) is innovative? (Please describe it with 40 words or less)
8. When will the product(s) be available for dissemination ?
month : year :
9. How will the product be disseminated? (Please select all that apply.)
Journals
Books
Presentations (scientific or community)
Newsletters
TV/Radio
Newspapers, newsletters
Website/interactive CD
Workshop/training
Academic courses
Other, specify
if you don't have another product click here
Product 4
4. What is the nature of your product? (Please select one.)
Adaptation of an existing program to a new target audience
New program
New curricula, materials
New processes/methods
New technology
White paper/report
New policy approach
Other, specify
5. Who are the primary “users”? (Please select maximum of two target groups)
Scientific community
Educators
Public health practitioners (e.g., governmental public health)
Health care managers
Community or voluntary agency
Policy makers
General public
6. How will the effectiveness/quality of the product be evaluated prior to dissemination ? (Please select one.)
Experimental study
Quasi-experimental study
Peer review
No Peer review
Qualitative methods
Other, specify
7. Describe how the product(s) is innovative? (Please describe it with 40 words or less)
8. When will the product(s) be available for dissemination ?
month : year :
9. How will the product be disseminated? (Please select all that apply.)
Journals
Books
Presentations (scientific or community)
Newsletters
TV/Radio
Newspapers, newsletters
Website/interactive CD
Workshop/training
Academic courses
Other, specify
if you don't have another product click here
Product 5
4. What is the nature of your product? (Please select one.)
Adaptation of an existing program to a new target audience
New program
New curricula, materials
New processes/methods
New technology
White paper/report
New policy approach
Other, specify
5. Who are the primary “users”? (Please select maximum of two target groups)
Scientific community
Educators
Public health practitioners (e.g., governmental public health)
Health care managers
Community or voluntary agency
Policy makers
General public
6. How will the effectiveness/quality of the product be evaluated prior to dissemination ? (Please select one.)
Experimental study
Quasi-experimental study
Peer review
No Peer review
Qualitative methods
Other, specify
7. Describe how the product(s) is innovative? (Please describe it with 40 words or less)
8. When will the product(s) be available for dissemination ?
month : year :
9. How will the product be disseminated? (Please select all that apply.)
Journals
Books
Presentations (scientific or community)
Newsletters
TV/Radio
Newspapers, newsletters
Website/interactive CD
Workshop/training
Academic courses
Other, specify

10. Have you documented all details of program implementation sufficiently to allow for dissemination ?
Yes
No
No, but plans are in place to document details of the program
11. How will you evaluate product dissemination ?
12. What are the resources needed for dissemination ? (Please select all that apply.)
Funding
People
Skills
Technology
Other, specify
    
    
    
13. Are all these resources available?
Yes
No
If not, which are lacking?
What actions are needed to obtain these resources?
14. Will ownership issues be involved with this product?
Yes
No
Not sure
If yes, what ownership rights are being considered/applied for? (Please select all that apply.)
Copyright
Patent
Other, specify
Indicate the name(s) of the person or organization who will have ownership :

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summary

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If you have questions or comments about this web tool, please email Borsika Rabin (rabinab@slu.edu).