Advancing the Science and Practice of Training and Technical Assistance to Improve the Equitable Implementation of Evidence-Based Practices.

Health inequities in the US are greater than those in other industrialized countries and have shown little improvement over the past 20 years. Training and technical assistance centers (TTACs) could be a potential mechanism to address inequities, but to date, have lacked an explicit equity-focus. In this paper we describe how to apply equitable implementation strategies when using an evidence-based training and technical assistance process (Getting To Outcomes) and offer the Health Equity Interactive Systems Framework to support the dissemination and implementation of readily applicable equitable implementation strategies. Proposed improvements to implementation strategies' equity focus could provide a scalable way for TTACs to promote implementation strategies that are equity-focused. Findings could also inform continuous quality improvement frameworks used by TTACs to close the research to practice gap and make progress towards reducing health inequities.