Grounding implementation science in health equity for cancer prevention and control.
Grounding implementation science in health equity for cancer prevention and control.
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DOI：
10.1186/s43058-022-00311-4
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发表时间：
2022-06-03
影响因子：
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通讯作者：
Shelton RC
中科院分区：
文献类型：
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作者：
Adsul P;Chambers D;Brandt HM;Fernandez ME;Ramanadhan S;Torres E;Leeman J;Baquero B;Fleischer L;Escoffery C;Emmons K;Soler M;Oh A;Korn AR;Wheeler S;Shelton RC
过去十年的研究在实施科学和卫生公平研究方面取得了理论和方法上的进步，为促进和加速这些领域的跨学科交流打开了机会之窗，这些领域在很大程度上是孤立的。2019年和2020年，美国国家癌症研究所癌症实施科学联合会召集了一个行动小组，重点关注“卫生公平和环境”，以确定推进实施科学的机会。在本文中，我们对卫生公平和实施科学交叉领域的相关文献进行了叙述性回顾和综合，重点介绍了行动小组为推进癌症预防和控制的实施科学而确定的机会（即公共产品），并通过为未来方向提供关键建议来整合两者。在文献综述和综合中，我们强调了与促进卫生公平相关的实施科学的最新进展（例如，理论/模型/框架、适应性、实施战略、研究设计、实施决定因素和结果）。我们承认来自更广泛的卫生公平研究领域的贡献，并讨论了与实施科学整合和协同的机会，其中包括(1)在开展和审查实施科学时明确关注卫生公平；(2)促进在指导实施科学的理论、模型和框架中明确关注卫生公平；(3)确定理解和记录对实施环境的影响的方法，这些影响包括对公平的关注。为了推进以卫生公平为重点的实施科学，我们反思了促进实施科学和卫生公平研究领域之间双向学习所需的基本基础，并建议：(1)在研究人员和研究机构之间建立以卫生公平为重点和社区参与的实施科学的能力；(2)将卫生公平考虑纳入所有关键实施重点领域（例如，适应、实施战略、研究设计、决定因素和结果）；(3)继续关注卫生公平研究和实施科学的跨学科机会。我们认为，这些建议通过在癌症预防和控制及其他方面明确关注卫生公平，有助于推进实施科学。
The past decade of research has seen theoretical and methodological advances in both implementation science and health equity research, opening a window of opportunity for facilitating and accelerating cross-disciplinary exchanges across these fields that have largely operated in siloes. In 2019 and 2020, the National Cancer Institute’s Consortium for Cancer Implementation Science convened an action group focused on ‘health equity and context’ to identify opportunities to advance implementation science. In this paper, we present a narrative review and synthesis of the relevant literature at the intersection of health equity and implementation science, highlight identified opportunities (i.e., public goods) by the action group for advancing implementation science in cancer prevention and control, and integrate the two by providing key recommendations for future directions. In the review and synthesis of the literature, we highlight recent advances in implementation science, relevant to promoting health equity (e.g., theories/models/frameworks, adaptations, implementation strategies, study designs, implementation determinants, and outcomes). We acknowledge the contributions from the broader field of health equity research and discuss opportunities for integration and synergy with implementation science, which include (1) articulating an explicit focus on health equity for conducting and reviewing implementation science; (2) promoting an explicit focus on health equity in the theories, models, and frameworks guiding implementation science; and (3) identifying methods for understanding and documenting influences on the context of implementation that incorporate a focus on equity. To advance the science of implementation with a focus on health equity, we reflect on the essential groundwork needed to promote bi-directional learning between the fields of implementation science and health equity research and recommend (1) building capacity among researchers and research institutions for health equity-focused and community-engaged implementation science; (2) incorporating health equity considerations across all key implementation focus areas (e.g., adaptations, implementation strategies, study design, determinants, and outcomes); and (3) continuing a focus on transdisciplinary opportunities in health equity research and implementation science. We believe that these recommendations can help advance implementation science by incorporating an explicit focus on health equity in the context of cancer prevention and control and beyond.
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DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
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作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
DOI：
10.1186/s13012-021-01097-0
发表时间：
2021-03-19
期刊：
Implementation science : IS
影响因子：
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作者：
Brownson RC;Kumanyika SK;Kreuter MW;Haire-Joshu D
通讯作者：
Haire-Joshu D
影响因子：
11.3
作者：
Damschroder, Laura J.
通讯作者：
Damschroder, Laura J.
影响因子：
4.8
作者：
Davison, Colleen M.;Ndumbe-Eyoh, Sume;Clement, Connie
通讯作者：
Clement, Connie
影响因子：
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通讯作者：
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