iDAPT: Implementation and Informatics - Developing Adaptable Processes and Technologies for Cancer Control

iDAPT：实施和信息学 - 开发癌症控制的适应性流程和技术

• 批准号: 10477064
• 负责人: Thomas K Houston
• 金额: $ 60.98万
• 依托单位: WAKE FOREST UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-18 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10477064
• 关键词: Address; American; Automation; Cancer Control; Caring; Clinic; Clinical; Collaborations; Communication; Computers; Development; Dissemination and Implementation; Doctor of Philosophy; Ensure; Evaluation; Extramural Activities; Faculty; Feedback; Funding; Grant; Informatics; Intelligence; Knowledge; Laboratories; Lead; Leadership; Malignant Neoplasms; Manuals; Measurement; Medical Informatics; Mentors; Methods; Monitor; Natural Language Processing; Oncology; Patients; Pattern; Pilot Projects; Postdoctoral Fellow; Process; Public Health Informatics; Publishing; Reference Standards; Research; Research Personnel; Research Project Summaries; Research Proposals; Role; Running; Science; Scientist; Secure; Series; Smoking Cessation Intervention; Students; System; Technology; Testing; Time; Training; Underrepresented Populations; United States National Institutes of Health; Visit; Work; design; eHealth; experience; feasibility testing; implementation evaluation; implementation facilitation; implementation process; implementation research; implementation science; implementation study; improved; innovation; medical schools; member; population health; professor; program dissemination; programs; prototype; response; shared decision making; skills; sound; survivorship

PROJECT SUMMARY The Research Program will use three strategies to inform iDAPT’s emerging theme to use technologies that support rapid cycle and real time deployment and testing of implementation processes and adaptations within cancer control. First, the Research Program will advance the science of technology-supported implementation science in cancer control through a series of proposed pilot projects conducted in the Implementation Lab. Second, it will advance the methods and measurement for implementation science using technology via methods pilot projects and support of the Implementation Studies Unit. Third, the Research Program will identify and nurture nascent ideas for new cancer-focused Implementation Science proposals with high potential for extramural funding, with an emphasis on assisting students, junior faculty, and underrepresented populations. The Research Program will lead with two pilot studies aligned with our emerging theme of technology-facilitated implementation science. The first is a highly innovative implementation pilot study that will address a gap in survivorship care. Using a stepped-wedge design in 10 oncology clinics, we will test an electronic referral mechanism and computer-tailored communication and intelligent automation to facilitate shared decision making and survivorship care planning in-between clinical visits. The methods study will advance the field of implementation science in cancer control by testing the feasibility of using an automated communication pattern monitoring and feedback system to facilitate implementation programs designed to improve communication between clinical teams and between clinical teams and patient. This study will create manually annotated reference standard for natural language processing (NLP), train and validate the NLP system, test the system among patients undergoing smoking cessation treatment, and then build and test a prototype system to monitor communication extracted from secure messages over time. Both of these iDAPT vanguard pilot studies are led by junior faculty. The Research Program will seek additional pilot research through a defined process for soliciting, reviewing and selecting promising studies using a validated approach for evaluating implementation research proposals for a total of 8-10 pilot studies. The Research Program depends upon a high degree of collaboration across the cores to ensure that the selection of pilot studies reflects laboratory member needs (Administrative Core Evaluation Unit), that laboratory members are engaged and have knowledge and skills to serve as equal partners in the research process (Implementation laboratory), and that the knowledge gained from the pilot studies builds the field of implementation science in cancer control aligned with iDAPT’s emerging theme of technology-facilitated implementation science (Administrative Core Network Unit). The Research Program is led by Dr. Thomas Houston (MPI) who is Professor and Chief, Health Informatics and Implementation Science Division at UMMS and is an elected fellow in the American College of Medical Informatics.

项目概要 该研究计划将使用三种策略来告知 iDAPT 的新兴主题，即使用以下技术： 支持快速循环和实时部署以及测试实施流程和调整 癌症控制。首先，研究计划将推进技术支持实施的科学性 通过在实施实验室进行的一系列拟议试点项目，研究癌症控制科学。 二是通过方法推进科技实施科学的方法和手段 试点项目和实施研究股的支持。第三，研究计划将确定并 为新的以癌症为重点的实施科学提案培育新的想法，这些提案具有巨大的潜力 校外资助，重点是帮助学生、初级教师和代表性不足的人群。 该研究计划将首先进行两项试点研究，这些研究与我们新兴的技术促进主题相一致 实施科学。第一个是高度创新的实施试点研究，将解决 幸存者护理。我们将在 10 个肿瘤诊所使用阶梯式楔形设计来测试电子转诊 机制和计算机定制的通信和智能自动化，以促进共同决策 以及临床就诊之间的生存护理计划。该方法研究将推动该领域的发展 通过测试使用自动通信模式的可行性来实施癌症控制科学 监测和反馈系统，以促进旨在改善沟通的计划的实施 临床团队之间以及临床团队与患者之间。本研究将创建手动注释的 自然语言处理（NLP）参考标准，训练和验证NLP系统，测试系统 在接受戒烟治疗的患者中，然后构建并测试原型系统来监测 随着时间的推移从安全消息中提取的通信。这两项 iDAPT 先锋试点研究均由 由初级教师。该研究计划将通过明确的流程寻求额外的试点研究 使用经过验证的方法来评估实施情况，征求、审查和选择有前景的研究 总共8-10项试点研究的研究提案。研究计划取决于高度的 核心之间的合作，以确保试点研究的选择反映实验室成员的需求 （行政核心评估单位），实验室成员参与并拥有知识和技能 在研究过程中作为平等的合作伙伴（实施实验室），并确保所获得的知识 试点研究建立了与 iDAPT 新兴技术相一致的癌症控制实施科学领域 技术促进实施科学的主题（管理核心网络单元）。研究 该计划由 Thomas Houston 博士 (MPI) 领导，他是健康信息学和实施领域的教授兼主任 UMMS 科学部，并当选为美国医学信息学院院士。