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

项目总结 研究计划将使用三种战略来告知iDAPT的新兴主题使用以下技术 支持快速循环和实时部署和测试实施流程和调整 癌症控制。首先，研究计划将推动技术支持的实施的科学性 通过在实施实验室开展的一系列拟议的试点项目，在癌症控制领域开展科学研究。 二是通过方法论推进实施科学的方法和手段 试点项目和执行情况研究股的支助。第三，研究计划将确定和 培养新的想法，以实施新的专注于癌症的科学提案，具有很高的潜力 校外资助，重点是帮助学生、初级教员和代表性不足的人群。 研究计划将以两项试点研究为先导，与我们正在形成的技术促进的主题保持一致 实施科学。第一项是高度创新的实施试点研究，将解决以下方面的差距 生还者护理。我们将在10个肿瘤科诊所使用阶梯楔形设计，测试电子转介 机制和计算机定制的通信和智能自动化，以促进共享决策 以及在临床就诊期间的生存护理计划。该方法的研究将会推动这一领域的发展 通过测试使用自动通信模式的可行性来实现癌症控制中的科学 监控和反馈系统，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和患者之间。本研究将创建手动注解 自然语言处理参考标准(NLP)，培训和验证自然语言处理系统，测试系统 在接受戒烟治疗的患者中，然后构建并测试一个原型系统来监测 随时间推移从安全消息中提取的通信。这两项iDAPT先锋试验研究都是由 被初级教员。研究计划将通过定义的流程寻求更多的试点研究 使用经过验证的评估执行情况的方法征求、审查和选择有前景的研究 研究建议共进行8-10项试点研究。研究计划依赖于高度的 跨核心协作，以确保试点研究的选择反映实验室成员的需求 (行政核心评价股)，实验室成员参与并具有以下知识和技能 在研究过程(实施实验室)中作为平等伙伴，并确保所获得的知识 从先导研究中建立了与iDAPT的出现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(行政核心网络股)。研究报告 该计划由托马斯·休斯顿博士领导，他是卫生信息学和实施的教授和首席 他是密歇根大学医学院的科学部成员，也是美国医学信息学学院的当选院士。

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.