In summary, dissemination may seem remote to researchers just beginning to develop an innovative behavioral intervention, when efficacy still needs to be proven. However, it is never too early to start thinking about dissemination. Consideration of dissemination at the beginning of the pipeline is helpful as the work of dissemination is long term and resource intensive. Environmental and stakeholder scans as well as identifying value propositions can be conducted early on in the pipeline and subsequently shape the choice of delivery characteristics of an intervention in addition to informing dissemination approaches. Also, clearly articulating a goal for dissemination is important. For example, is the goal for the intervention to be integrated in all primary care practices, churches, and hospitals or can individuals obtain the intervention off the shelf (e.g., a Web-based program or application for purchase)? Knowing what one wants to achieve with an intervention is critical. Given the dynamic nature of health and human service and community organizations and population needs, the investigator/team must remain agile and ready to modify dissemination plans to address developing challenges and emerging opportunities as they arise.

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