Using Hybrid Effectiveness Studies to Facilitate Implementation in Community-Based Settings: Three Case Studies in Dementia Care Research

Joseph E. Gaugler, Rosa R. Baier, Zachary G. Baker, Marie Boltz, Richard H. Fortinsky, Allison M. Gustavson, Nancy A. Hodgson, Eric Jutkowitz, Miranda V. McPhillips, Lauren J. Parker, Justine S. Sefcik, Laura N. Gitlin

Research output: Contribution to journalArticlepeer-review


The pipeline from discovery to testing and then implementing evidence-based innovations in real-world contexts may take 2 decades or more to achieve. Implementation science innovations, such as hybrid studies that combine effectiveness and implementation research questions, may help to bridge the chasm between intervention testing and implementation in dementia care. This paper describes hybrid effectiveness studies and presents 3 examples of dementia care interventions conducted in various community-based settings. Studies that focus on outcomes and implementation processes simultaneously may result in a truncated and more efficient implementation pipeline, thereby providing older persons, their families, health care providers, and communities with the best evidence to improve quality of life and care more rapidly. We offer post-acute and long-term care researchers considerations related to study design, sampling, data collection, and analysis that they can apply to their own dementia and other chronic disease care investigations.

Original languageEnglish (US)
Pages (from-to)27-33
Number of pages7
JournalJournal of the American Medical Directors Association
Issue number1
StatePublished - Jan 2024

All Science Journal Classification (ASJC) codes

  • General Nursing
  • Health Policy
  • Geriatrics and Gerontology

Cite this