Implementation Research Strategies for Heart, Lung, and Blood Co-morbidities in People Living with HIV - Research Coordinating Center

项目总结/摘要 2017年，全球估计有3690万艾滋病毒感染者。由于增加了 随着抗逆转录病毒疗法的普及，这些患者的预期寿命增加， 和艾滋病毒感染人口的老龄化。来自高资源和低资源国家的数据显示， 艾滋病患者的心、肺、血液和睡眠（HLBS）疾病负担不断增加。照顾这个现在老化 队列需要修改服务提供模式，以预防，诊断，治疗和控制 慢性HLBS病症。成功实施为应对全球气候变化而制定的各种解决方案， 艾滋病毒/艾滋病大流行可作为将全球医疗保健提供系统转变为HLBS的基础 疾病护理该研究协调中心的总体目标是：（1）提供科学， 执行工作的组织、统计、质量控制、能力建设和业务领导 科学项目将由同伴RFA-HL-20-025资助，（2）促进和教授实施 研究战略，以促进跨项目的合作对话，并确保最新的概念化， 具体说明和衡量执行战略和成果。为了实现这些目标，我们 组建了一支经验丰富的多学科研究团队。我们的团队，在运行方面的专业知识 多中心试验，传播和实施研究，生物统计学和研究设计，HIV，HLBS 疾病、能力建设和数据管理，将追求以下具体目标： 1.监督所有研究中心的管理、组织和沟通活动，包括 与NHLBI合作，准备会议议程，开发研究网站，提供行政支持 研究项目，并组织面对面的会议。 2.与所有研究中心合作，制定其 执行科学研究协议。这些努力将包括： a.协助研究中心设计、测试和维护密码保护的数据输入， 管理系统，并确保这些系统实施强大的质量控制功能。 B.协调（a）各研究中心的人口统计学、临床和问卷测量，以及（B） 实施战略和实施成果的概念化和衡量。 C.与研究中心合作，对协调数据进行统计分析，并协助分析 作为报告，手稿和摘要准备的网站特定的数据。 3.在每个研究环境中测量关键的情境实施科学因素，以使 概念化的影响机制，并通过扩展，使正式评估的外部 效度 监督培训和能力建设活动的制定和实施。

PROJECT SUMMARY/ABSTRACT Globally, there were an estimated 36.9 million people living with HIV in 2017. As a result of the increased availability of antiretroviral therapy, life expectancy for these patients has increased, resulting in an expansion and aging of the HIV-infected population. Data from both high- and low-resource countries have shown an escalating burden of heart, lung, blood, and sleep (HLBS) disorders among HIV patients. Care for this now aging cohort requires modifying service delivery models towards the prevention, diagnosis, treatment, and control of chronic HLBS disorders. The successful implementation of various solutions developed in response to the global HIV/AIDS pandemic can serve as the foundation to transform global healthcare delivery systems towards HLBS disorder care. The overarching goals of this Research Coordinating Center are: (1) provide scientific, organizational, statistical, quality control, capacity building and operational leadership for the Implementation Science projects to be funded by the companion RFA-HL-20-025 and (2) promote and teach Implementation Research strategies to advance collaborative dialogue across projects and ensure up-to-date conceptualization, specification and measurement of implementation strategies and outcomes. In support of these goals, we have assembled a highly experienced and multidisciplinary research team. Our team, with expertise in running multicenter trials, dissemination and implementation research, biostatistics and research design, HIV, HLBS disorders, capacity building, and data management, will pursue the following specific aims: 1. To oversee management, organizational, and communication activities across all research sites including working with NHLBI to prepare meeting agendas, develop the study website, provide administrative support for research projects, and organize face-to-face meetings. 2. To collaborate with all research sites in developing the scientific and operational details of their implementation science research protocols. These efforts will include: a. Assisting study sites in designing, testing, and maintaining password protected data entry and management systems and ensuring that such systems implement robust quality control features. b. Harmonizing (a) demographic, clinical, and questionnaire measurements across research sites and (b) the conceptualization and measurement of implementation strategies and implementation outcomes. c. In collaboration with research sites, to statistically analyze harmonized data and to assist in the analysis of site-specific data as reports, manuscripts, and abstracts are prepared. 3. To measure critical contextual Implementation Science factors in each research setting in order to enable conceptualization of the mechanism of effect and, by extension, enable formalized assessments of external validity. To oversee the development and implementation of training and capacity building activities.