Table 2.

Design for Accelerated Translation (DART) strategies to optimize the implementation of emerging health innovations

	Current State: “Where We Are”	Optimal State: “Where We Want to Be”	Improvement Strategies: “What It Will Take”
Meaningful Stakeholder Partnership	Disconnected from customers; Lab silos	Utilizing team science	Develop partnerships between investigators across the translational spectrum early in design/development
	Small/restrictive samples	Leveraging citizen science	Harness power of public for scientific activities
	Disconnected from industry	Partnering with private industry	Partner with those primed to bring innovations to market
Design Innovations for D&I	Pushing out innovations	Eliciting demand and performance needs from users	Understand user motives and context; demonstrate value added and simplicity
	Researcher-driven development	Engaging in human/user-centered design	Involve diverse group of end-users as partners throughout design/development
	Efficacy over effectiveness	Implementing robust, context-sensitive innovations	Better packaging of research evidence for translation to practice and policy; focus on pragmatic and adaptive trials to optimize adoption potential
Learning Health System	Rigid/narrow use of evidence	Ongoing and efficient review of evidence	Use existing data to add to evidence on intervention impact; conduct rapid reviews; use create–trial–sustain approaches to guide ongoing adaptation
	Static delivery systems	Supporting the use of iterative feedback	Give real-time feedback on key outcomes to providers
	Resistant to change	Promoting an agile workforce with change-oriented mindset	Train workforce in core concepts that apply across technologies

D&I, Dissemination and Implementation.