Applying the dissemination and implementation sciences to allergy and immunology: A Work Group Report from the AAAAI Quality, Adherence, and Outcomes Committee

J Allergy Clin Immunol. 2024 Oct;154(4):893-902. doi: 10.1016/j.jaci.2024.07.016. Epub 2024 Aug 19.

Abstract

Translating evidence-based practice (EBP) into real-world clinical settings often takes a considerable amount of time and resources. In allergy and immunology, the dissemination and implementation (D&I) sciences facilitate the study of how variations in knowledge, resources, patient populations, and staffing models lead to differences in the clinical care of asthma, allergic disease, and primary immunodeficiency. Despite the need for validated approaches to study how to best apply EBP in the real world, the D&I sciences are underutilized. To address this gap, an American Academy of Allergy, Asthma & Immunology (AAAAI) work group was convened to provide an overview for the role of the D&I sciences in clinical care and future research within the field. For the D&I sciences to be leveraged effectively, teams should be multidisciplinary and inclusive of community and clinical partners, and multimethods approaches to data collection and analyses should be used. Used appropriately, the D&I sciences provide important tools to promote EBP and health equity as well as optimization of clinical practice in allergy and immunology.

Keywords: Dissemination; allergic diseases; asthma; community-based participatory research; evidence-based medicine guidelines; food allergy; health care quality; health equity; immunology; implementation science.

MeSH terms

  • Allergy and Immunology*
  • Evidence-Based Practice
  • Humans
  • Implementation Science
  • Information Dissemination