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

项目摘要 iDAPT实施和信息学-开发适用于癌症的流程和技术 控制是一个发展中的中心，其新兴主题是使用技术来支持快速循环和 癌症控制中实施过程和适应的真实的时间部署和测试。的 行政核心将管理中心，确保iDAPT与"真实的世界"临床合作伙伴合作， 病人和家属，与癌症控制实施科学中心有良好的网络联系。 联合体，并参与对中心活动和里程碑的全面评估。研究 该计划将包括一个实施研究单位，最初为期2年的试点研究使用适应性 技术，以加强乳腺癌幸存者生存护理规划的共同决策。 该研究计划还包括一个方法股与初步创新试点研究，以测试可行性 自然语言处理来测量通信模式， 旨在增强团队内部和临床团队与患者电子通信的计划的实施保真度 通信该研究计划预计将完成8至10项试点研究。为了促进 研究与iDAPT的主题一致，我们将建立和维持iDAPT的实施实验室， 包括能力建设和基础设施，以测试技术的使用，以支持快速循环， 在癌症控制中实施过程和调整的真实的时间部署。实验室 包括我们在阿巴拉契亚南部（北卡罗来纳州）和 东北部（马萨诸塞州）和"辐条"，包括900多个以社区为基础的肿瘤诊所在国家癌症研究所 国家社区肿瘤研究计划和全国退伍军人管理局诊所。iDAPT 领导团队是一个多学科的专家团队，在以癌症为重点的实施方面拥有丰富的经验 科学，行为科学，计算机工程和计算机科学，临床信息学，形成 定性方法、流行病学和生物统计学。iDAPT开发中心将被考虑 如果我们取得以下成果，我们将取得成功：（1）一个强大的、合作的实施实验室， 在癌症控制方面具有科学知识和经验的合作伙伴;（2） 完成8至10个与iDAPT新兴主题相关的试点项目;（3）试点受赠方和实验室合作伙伴 由于能力建设和试点赠款经验，准备领导研究人员发起的研究;（4） 初级教师和代表性不足的人从事所有中心的活动;（5） 癌症控制中的实施科学在iDAPT的新兴主题中得到了推进;以及（6）iDAPT 是一个新的ISCCCs网络的一部分，该网络共同建立了癌症控制的实施科学领域。

PROJECT SUMMARY iDAPT Implementation and Informatics - Developing Adaptable Processes and Technologies for Cancer Control is a developing center with an emerging theme on the use of technologies to support rapid cycle and real time deployment and testing of implementation processes and adaptations within cancer control. The Administrative Core will manage the Center, ensure that iDAPT is engaged with “real world” clinical partners, patients, and families, is well-networked with the Implementation Science Centers in Cancer Control consortium, and engage in a comprehensive evaluation of Center activities and milestones. The Research Program will include an Implementation Studies Unit with an initial 2-year pilot study using adaptable technology to enhance shared decision-making in survivorship care planning for survivors of breast cancer. The Research Program also includes a Methods Unit with an initial innovation pilot study to test the feasibility of natural language processing to measure communication patterns pre-implementation and to monitor implementation fidelity of programs designed to enhance within-team and clinical team-to-patient electronic communication. The Research Program is expected to complete 8 to 10 pilot studies. In order to foster research aligned with iDAPT’s theme, we will build and sustain iDAPT’s Implementation Laboratory which incorporates capacity building and infrastructure for testing the use of technologies to support rapid cycle and real time deployment of implementation processes and adaptations within cancer control. The laboratory includes primary care and oncology clinics in our local “Hubs” in southern Appalachia (North Carolina) and the northeast (Massachusetts) and “Spokes” including over 900 community-based oncology clinics in the NCIs National Community Oncology Research Program and nationwide Veteran’s Administration clinics. iDAPTs leadership is a multi-disciplinary team of experts with extensive experience in cancer-focused implementation science, behavioral science, computer engineering and computer science, clinical informatics, formative qualitative methods, epidemiology, and biostatistics. The iDAPT Developing Center will be considered successful if we achieve the following outcomes: (1) a robust, collaborative Implementation Laboratory with partners who are knowledgeable and experienced with implementation science in cancer control; (2) completion of 8 to 10 pilot projects related to iDAPTs emerging theme; (3) pilot grantees and lab partners are prepared to lead investigator initiated studies as a result of capacity building and pilot grant experiences; (4) junior faculty and underrepresented persons are engaged in all Center activities; (5) The field of implementation science in cancer control is advanced aligned within iDAPT’s emerging theme; and (6) iDAPT is part of a new network of ISCCCs who collectively build the field of implementation science in cancer control.