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Dr. David Chambers, Deputy Director for Implementation Science in the Office of the Director in the Division of Cancer Control and Population Sciences (DCCPS) at the National Cancer Institute (NCI).

Keynote at the EIE

The focus of David’s EIE2021 keynote will be on tracing progress in the advancement of the science of implementation in health, current opportunities and priorities for further work. He will reexamine some of the frequent assumptions made about the pathway from research into practice and policy, look at the implications of those assumptions and explore how adjusting to a more evolutionary, dynamic perspective may unearth new priorities and the potential for more progress in the field.

Some of his key messages for the EIE audience will be:

• Evidence, health interventions, practice settings, and the broader environment are dynamic; implementation science must account for this dynamism and embrace it to be more helpful in improving care

• More emphasis on adaptation, sustainment and de-implementation is needed to more naturally optimize the use of evidence in clinical and community practice.

• We should learn more from implementation in vivo as practice-based evidence is underrepresented in our implementation science knowledge base.

Profile

David Chambers received his MSc and PhD in Management Studies (Organisational Behaviour) in 1998 and 2001, respectively, from Oxford University (UK). He worked at the National Institute of Mental Health (NIMH) from 2001-2014, serving as Chief of the Services Research and Clinical Epidemiology Branch (SRCEB) from 2008-2014. Between 2006-2014, David also served as Associate Director for Dissemination and Implementation Research. At the NCI, he  manages a team focusing on efforts to build and advance the field of Implementation Science through funding opportunity announcements, training programs, research activities, dissemination platforms, and enhancement of partnerships and networks to integrate research, practice and policy.

David is currently focusing on the design of pragmatic trials so as to make interventions (and implementation strategies) more likely to be generalizable beyond their study context. He is also studying local implementation with a focus on supporting “implementation laboratories” where clinical and community settings partner with researchers to identify priority research questions and more rapidly assess local innovations. Another priority in David’s current work is to increase attention to the study of de-implementation of ineffective or harmful practices, in turn enabling more efficient and high-quality care.