Russell Glasgow MS, PhD

Title: Principal Investigator; Research Professor, Department of Family Medicine University of Colorado Director, ACCORDS Dissemination and Implementation Science (D&I) Program

Contact: Russell.Glasgow@cuanschutz.edu

University of Colorado ACCORDS webpage

Personal Statement
I am trained as a behavioral scientist (clinical psychologist specifically), but most of the work I do is concerned with improving health systems or public health, and especially the interface between the two. I am particularly interested in patient-centered and team based intervention approaches for complex, sticky problems. For example, developing feasible and efficient ways to assist primary care in dealing with the wide range of health behavior, mental health and other risks faced by their patients or in helping patients with multiple chronic conditions manage their conditions and navigate the complex systems of illness care silos with which they have to contend.

The vast majority of my time is spent in research, but I am also passionate about training and making resources available to both researchers and practitioners who want to learn about areas such as implementation science, pragmatic research, or more generally helping facilitate the translation of research into practice and policy.

As an example, my colleagues and I have developed models and frameworks that point to and address issues that are critical to having real world impact, but are seldom addressed in traditional research studies. These models include the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework that has been broadly adopted (re-aim.org) and the newer Evidence Integration Triangle.

Research Interest

Implementation Science and Integration of Research into Practice and Policy: Use of conceptual models to identify key factors, review literature, plan, design, and evaluate interventions, promote rapid learning, and integrate research into practice and policy. See http://cancercontrol.cancer.gov/is/

Self-Management and Self-Management Support, especially for older multi-morbid adults: Particularly the development and evaluation of self-help and brief, low-intensity treatment and interactive and eHealth technology approaches; primary care, worksite and community applications. Policy issues related to inclusion of patient-centered measures and self-management criteria in guidelines and performance criteria.

Research Methodology: Particularly pragmatic research, practical behavioral and patient-centered assessment, evaluation of programs intended for translation, assessment of representativeness and generalization, comparative effectiveness research.& Use of Evidence Integration Triangle and RE-AIM frameworks for planning, analyzing, and reporting results of practical trials. See re-aim.org.

Multilevel and Systems Approaches to Prevention and Coping with Chronic Illness and Complex Problems: Especially adherence to medical regimens such as cancer, diabetes and behavioral issues of disease management among the elderly and those with multiple conditions (e.g., quality of life, patient models of illness, distress and depression, barriers to adherence, health literacy and numeracy, patient-centered care).

Grants & Funding

Pragmatic Approaches to Assess and Enhance Value of Cancer Prevention and Control in Rural Primary Care

We are developing methods and studying the role of costs and priorities from the perspective of different stakeholder types; as well as creating and testing various interactive tools and resources to build capacity for D&I science.
Funder: National Cancer Institute
NIH website
Publications of note:
— Developing a dissemination and implementation research agenda for aging and public health: The what, when, how, and why?
— Speeding implementation in cancer: The National Cancer Institute’s Implementation Science Centers in Cancer Control
— Creating research-ready partnerships: the initial development of seven implementation laboratories to advance cancer control
— Lung cancer screening in rural primary care practices in Colorado: time for a more team-based approach?

IMPlementation to Achieve Clinical Transformation (IMPACT): The Colorado Training Program

We propose a training program to develop faculty who can carry out "T4 research". T4 research addresses how best to implement interventions of proven effectiveness in actual clinical settings. 
Our program provides in-depth, individually tailored training for scholars using classroom activity (courses, seminars, and workshops) and intensive embedded research experiences in two of the five partner settings conducting clinical research in heart, lung, blood, and sleep disorders.
Funder: National Heart, Lung, and Blood Institute
NIH website
Publications of note:
— Pragmatic considerations and approaches for measuring staff time as an implementation cost in health systems and clinics: key issues and applied examples
— How Dissemination and Implementation Science Can Contribute to the Advancement of Learning Health Systems
— Stakeholder perspectives on current determinants of ultrasound-guided thoracentesis in resource limited settings: a qualitative study
— Using Iterative RE-AIM to enhance hospitalist adoption of lung ultrasound in the management of patients with COVID-19: an implementation pilot study

Quadruple Aim Program (renewal of Triple Aim QUERI Program)

Role: Co-PI
This is an expansion off our previously funded Triple Aim QUERI program that works to study the impact, costs, sustainment and generalizability of pragmatic implementation strategies including ‘iterative RE-AIM’ across different clinical areas and diverse implementation sites in different VA regions.
Funder: Veterans Affairs
NIH website

Improving Communication and Healthcare Outcomes for Patients with Communication Disabilities: the INTERACT Trial

Role: Co-PI
This project features strong and ongoing stakeholder engagement in the development and testing of patient and provider strategies and tools to enhance communication and patient outcomes. We focus on understanding the role of various levels and types of contextual factors using mixed methods approaches. 
Funder: PCORI - Patient-Centered Outcomes Research Institute
PCORI website

Comparing Practice Implementation and Patient-Centered Outcomes of Standardized vs Patient-Driven Diabetes Shared Medical Appointment

Role: Co-PI
The purpose of this pragmatic, comparative effectiveness project is to compare diabetes shared medical appointments (SMAs) led by health educators using a standardized curriculum to a patient-driven, team-based SMA model.

Pragmatic Implementation Science Approaches to Assess and Enhance Value of Cancer Prevention and Control in Rural Primary Care

We propose an Implementation Science Center for Cancer Control focusing on developing, validating, and sharing innovative, pragmatic models and methods related to the costs, benefits, and value of translating evidence-based cancer control programs and guidelines into rural primary care practice settings. 
Our theme is `Pragmatic implementation science approaches to assess and enhance the value of cancer prevention and control in rural primary care.' 
These approaches will inform strategies to implement lung cancer screening and other cancer prevention and control interventions and advance implementation science by providing measures, reporting guides, resources, training, and certification of competence.
Funder: National Cancer Institute
NIH website
Publications of note:
— Lung cancer screening in rural primary care practices in Colorado: time for a more team-based approach?
— Creating research-ready partnerships: the initial development of seven implementation laboratories to advance cancer control
— Speeding implementation in cancer: The National Cancer Institute’s Implementation Science Centers in Cancer Control
— Pragmatic considerations and approaches for measuring staff time as an implementation cost in health systems and clinics: key issues and applied examples

Recent Publications

2024

Kwan BM, Dickinson LM, Dailey-Vail J, Glasgow RE, Gritz RM, Gurfinkel D, Hester CM, Holtrop JS, Hosokawa P, Lanigan A, Nease DE Jr, Nederveld A, Phimphasone-Brady P, Ritchie ND, Sajatovic M, Wearner R, Begum A, Carter M, Carrigan T, Clay B, Downey D, Koren R, Trujillo SA, Waxmonsky JA. Comparative Effectiveness of Patient-Driven versus Standardized Diabetes Shared Medical Appointments: A Pragmatic Cluster Randomized Trial. J Gen Intern Med. 2024 Jun 28. doi: 10.1007/s11606-024-08868-7. Epub ahead of print. 
PMID: 38943014.

Cataldi JR, Brewer SE, Perreira C, Fisher ME, Spina CI, Cochran F, Glasgow RE, O'Leary ST. Vaccine communication training using the Brief Motivational Interviewing for Maternal Immunization intervention: A PRISM implementation evaluation. Transl Behav Med. 2024 Mar 16:ibae012. doi: 10.1093/tbm/ibae012. Epub ahead of print. 
PMID: 38493268.

Jolles MP, Fort MP, Glasgow RE. Aligning the planning, development, and implementation of complex interventions to local contexts with an equity focus: application of the PRISM/RE-AIM Framework. Int J Equity Health. 2024 Feb 27;23(1):41. doi: 10.1186/s12939-024-02130-6. PMID: 38408990; PMCID: PMC10898074. 
PMID: 38383393.

Trinkley KE, An R, Maw AM, Glasgow RE, Brownson RC. Leveraging artificial intelligence to advance implementation science: potential opportunities and cautions. Implement Sci. 2024 Feb 21;19(1):17. doi: 10.1186/s13012-024-01346-y. PMCID: PMC10880216. 
PMID: 38383393.

Maw AM, Trinkley KE, Glasgow RE. The Role of Pragmatic Implementation Science Methods in Achieving Equitable and Effective Use of Artificial Intelligence in Healthcare. J Gen Intern Med. 2024 Jan 3. doi: 10.1007/s11606-023-08580-y. Epub ahead of print. 
PMID: 38172408.

LaGrone LN, Glasgow RE, Haut ER. Dissemination and Implementation Science for the Trauma Provider: What you need to know to start doing and/or undoing the thing. Injury. 2024 Jan;55(1):111251. doi: 10.1016/j.injury.2023.111251. 
PMID: 38135366.

2023

Glasgow RE, Ford BS, Bradley CJ. Implementation science for cancer control: One center's experience addressing context, adaptation, equity, and sustainment. Transl Behav Med. 2023 Dec 30:ibad078. doi: 10.1093/tbm/ibad078. Epub ahead of print. PMID: 38159246

Shato T, Kepper MM, McLoughlin GM, Tabak RG, Glasgow RE, Brownson RC. Designing for dissemination among public health and clinical practitioners in the USA. J Clin Transl Sci. 2023 Dec 14;8(1):e8. doi: 10.1017/cts.2023.695. PMCID: PMC10877519. PMID: 38384897

Studts CR, Ford B, Glasgow RE. RE-AIM implementation outcomes and service outcomes: what's the connection? results of a cross-sectional survey. BMC Health Serv Res. 2023 Dec 15;23(1):1417. doi: 10.1186/s12913-023-10422-w. PMCID: PMC10722784. PMID: 38102634

Trinkley KE, Wright G, Allen LA, Bennett TD, Glasgow RE, Hale G, Heckman S, Huebschmann AG, Kahn MG, Kao DP, Lin CT, Malone DC, Matlock DD, Wells L, Wysocki V, Zhang S, Suresh K. Sustained Effect of Clinical Decision Support for Heart Failure: A Natural Experiment Using Implementation Science. Appl Clin Inform. 2023 Oct;14(5):822-832. doi: 10.1055/s-0043-1775566. Epub 2023 Oct 18. PMCID: PMC10584394. PMID: 37852249

Trinkley KE, Glasgow RE, D'Mello S, Fort MP, Ford B, Rabin BA. The iPRISM webtool: an interactive tool to pragmatically guide the iterative use of the Practical, Robust Implementation and Sustainability Model in public health and clinical settings. Implement Sci Commun. 2023 Sep 19;4(1):116. doi: 10.1186/s43058-023-00494-4. PMCID: PMC10508024. PMID: 37726860

Ritchie ND, Gurfinkel D, Sajatovic M, Carter M, Glasgow RE, Holtrop JS, Waxmonsky JA, Kwan BM. A Multi-Method Study of Patient Reach and Attendance in a Pragmatic Trial of Diabetes Shared Medical Appointments. Clin Diabetes. 2023 Fall;41(4):526-538. doi: 10.2337/cd23-0015. Epub 2023 Sep 8. PMCID: PMC10577507. PMID: 37849523

Easterling DV, Jacob RR, Brownson RC, Haire-Joshu D, Gundersen DA, Angier H, DeVoe JE, Likumahuwa-Ackman S, Vu T, Glasgow RE, Schnoll R. Participatory logic modeling in a multi-site initiative to advance implementation science. Implement Sci Commun. 2023 Aug 29;4(1):106. doi: 10.1186/s43058-023-00468-6. PMCID: PMC10466752. PMID: 37644495

Shakowski C, Page Ii RL, Wright G, Lunowa C, Marquez C, Suresh K, Allen LA, Glasgow RE, Lin CT, Wick A, Trinkley KE. Comparative effectiveness of generic commercial versus locally customized clinical decision support tools to reduce prescription of nonsteroidal anti-inflammatory drugs for patients with heart failure. J Am Med Inform Assoc. 2023 Jun 23:ocad109. doi: 10.1093/jamia/ocad109. Epub ahead of print. PMID: 37352404

Gustavson AM, Lewinski AA, Fitzsimmons-Craft EE, Coronado GD, Linke SE, O'Malley DM, Adams AS, Glasgow RE, Klesges LM. Strategies to Bridge Equitable Implementation of Telehealth. Interact J Med Res. 2023 May 15;12:e40358. doi: 10.2196/40358. 
PMID: 37184909

Fort MP, Manson SM, Glasgow RE. Applying an equity lens to assess context and implementation in public health and health services research and practice using the PRISM framework. Front Health Serv. 2023 Apr 13;3:1139788. doi: 10.3389/frhs.2023.1139788. PMCID: PMC10137153. 
PMID: 37125222.

Glasgow RE, Brtnikova M, Dickinson LM, Carroll JK, Studts JL. Implementation strategies preferred by primary care clinicians to facilitate cancer prevention and control activities. J Behav Med. 2023 Apr 8. doi: 10.1007/s10865-023-00400-2. Epub ahead of print. 
PMID: 37031347.

Gomes R, Nederveld A, Glasgow RE, Studts JL, Holtrop JS. Lung cancer screening in rural primary care practices in Colorado: time for a more team-based approach? BMC Prim Care. 2023 Mar 3;24(1):62. doi: 10.1186/s12875-023-02003-x. PMCID: PMC9982804. 
PMID: 36869308.

Estabrooks PA, Glasgow RE. Developing a dissemination and implementation research agenda for aging and public health: The what, when, how, and why? Front Public Health. 2023 Feb 6;11:1123349. doi: 10.3389/fpubh.2023.1123349. PMCID: PMC9939692. 
PMID: 36815160.