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In this practice paper, we outline dissemination efforts for this Roadmap and insights on evaluating its reach, user experience and early adoption. A global network of 22 dissemination partners was established to drive dissemination efforts, focussing on Africa, Asia and Latin America, each supported with a suite of dissemination assets. Within a 6-month evaluation window, 52 Twitter posts were distributed, 2195 visitors from 109 countries accessed the online multilingual Roadmap and 138 downloads of the Roadmap per month were recorded. Among 254 end users who answered a user-experience survey, respondents \u2018agreed\u2019 or \u2018strongly agreed\u2019 the Roadmap was valuable (88.3%), credible (91.2%), useful (90.1%) and usable (85.4%). Most (77.8%) agreed or strongly agreed they would adopt the Roadmap in some way. Collection of real-world adoption case studies allowed unique insights into adoption practices in different contexts, settings and health system levels. Diversity in adoption examples suggests that the Roadmap has value and adoption potential at multiple touchpoints within health systems globally. With resourcing, harnessing an engaged global community and establishing a global network of partners, a systems strengthening tool can be cocreated, disseminated and formatively evaluated.<\/jats:p>","DOI":"10.1136\/bmjgh-2023-013786","type":"journal-article","created":{"date-parts":[[2023,11,2]],"date-time":"2023-11-02T13:36:29Z","timestamp":1698932189000},"page":"e013786","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":11,"title":["\u2018<i>It\u2019s about time\u2019<\/i>. Dissemination and evaluation of a global health systems strengthening roadmap for musculoskeletal health \u2013 insights and future directions"],"prefix":"10.1136","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6736-3098","authenticated-orcid":false,"given":"Andrew M","family":"Briggs","sequence":"first","affiliation":[{"name":"Curtin School of Allied Health, Curtin University, Perth, Western Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0224-2818","authenticated-orcid":false,"given":"Jason","family":"Chua","sequence":"additional","affiliation":[{"name":"Traumatic Brain Injury Network, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New 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