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

项目总结 IDAPT的实施和信息学--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支持快速循环和 实时部署和测试癌症控制中的实施过程和适应。这个 管理核心将管理该中心，确保iDAPT与“真实世界”的临床合作伙伴接触， 患者和家属与癌症控制实施科学中心建立了良好的网络联系 并对中心的活动和里程碑进行全面评估。研究报告 该计划将包括一个实施研究股，最初使用Adapable进行为期两年的试点研究 在乳腺癌幸存者的生存护理计划中加强共享决策的技术。 研究计划还包括一个方法股，其中包括一项初步创新试点研究，以测试可行性 自然语言处理，以测量实施前的交流模式并监控 实施旨在增强团队内部和临床团队对患者电子设备的计划的保真度 沟通。该研究计划预计将完成8至10项试点研究。为了培养 研究与iDAPT的主题一致，我们将建立和支持iDAPT的实施实验室，该实验室 结合能力建设和基础设施，以测试技术的使用情况，以支持快速循环和 在癌症控制中实时部署实施过程和适应。实验室 包括我们在阿巴拉契亚南部(北卡罗来纳州)和 东北(马萨诸塞州)和“Spokes”，包括NCIS的900多家社区肿瘤学诊所 国家社区肿瘤学研究计划和全国退伍军人管理诊所。IDAPTS 领导力是一个由多学科专家组成的团队，在癌症重点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，形成学 定性方法、流行病学和生物统计学。将考虑iDAPT开发中心 如果我们取得以下成果，我们就能取得成功：(1)一个强大、协作的实施实验室， 具有癌症控制实施科学知识和经验的合作伙伴；(2) 完成8至10个与iDAPT新兴主题有关的试点项目；(3)试点受赠人和实验室合作伙伴 作为能力建设和试点赠款经验的结果，准备领导调查员发起研究；(4) 初级教职员工和任职人数不足的人员参与中心的所有活动；(5) 癌症控制的实施科学与iDAPT的新兴主题相一致；和(6)iDAPT 是ISCCC新网络的一部分，ISCCC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.