Measuring Readiness to Translate Research into Practice

描述（由申请人提供）：进行高质量的研究和将研究成果转化为实践是基于实践的研究网络（pbrn）成功的重要衡量标准。我们有兴趣进行探索性研究，以了解初级保健实践的组织特征如何影响他们参与研究及其翻译的准备。科罗拉多研究网络（CaReNet）是ahrq资助的PBRN，致力于开展研究，以改善不同患者群体的健康和医疗保健。作为CaReNet进一步成长和发展的重要组成部分，它有兴趣收集信息，以了解和改进如何在其网络实践中进行和转化研究。CaReNet建议与科罗拉多大学健康科学中心的科罗拉多健康成果项目（COHO）合作，测试和改进衡量初级保健办公室组织准备情况的方法。COHO将在6月由ahrq资助的名为“评估卫生保健机构的组织特征以提高质量”的小型会议期间进行概念和方法上的讨论。本研究的第一个目的是开发和测试PBRN实践的组织特征如何影响其进行研究的准备和将研究成果转化为实践的概念模型。这个提议的R21（第二类支持）将有助于确定所提议的方法的可靠性，以表征PBRN实践水平的变化准备，并确定实践水平的准备及其随时间的变化如何很好地预测PBRN实践进行研究和将研究转化为实践的能力。本研究的第二个目标是试点方法，为实践提供有用的反馈，了解他们的准备情况和潜在的“干预”。拟议的研究将在CaReNet的20个初级保健实践中进行。通过使用自我报告调查来衡量实践水平的准备情况，并使用简短的访谈和辅助数据来衡量每个实践的研究和翻译工作，我们将提高我们对影响实践如何适应和管理涉及指导和将研究成果转化为实践的变化的因素的理解。

DESCRIPTION (provided by applicant): Both conducting high quality research and translating research findings into practice are important measures of success for practice-based research networks (PBRNs). We are interested in conducting exploratory research to understand how the organizational features of primary care practices affect their readiness to engage in research and its translation. The Colorado Research Network (CaReNet) is an AHRQ-funded PBRN dedicated to conducting research to improve the health and health care of diverse patient populations. As an important part of CaReNet's further growth and development, it is interested in collecting information to understand and improve how research is conducted and translated in its network practices. CaReNet proposes to collaborate with the Colorado Health Outcomes Program (COHO) at the University of Colorado Health Sciences Center to test and refine methods for measuring the organizational readiness of primary care offices. COHO will build on the conceptual and methodological discussions that will occur during an AHRQ-funded small conference they will host in June titled "Assessing Organizational Features of Health Care Settings to Improve Quality." The first aim of this proposed study is to develop and test a conceptual model of how organizational features of PBRN practices affect their readiness to conduct research and to translate research findings into practice. This proposed R21 (Category II Support) will help to determine the reliability of proposed methods for characterizing PBRN practice-level readiness to change, and to determine how well practice-level readiness and its change over time predict PBRN practices' ability to conduct research and to translate research into practice. The second objective of this proposed study is to pilot methods for providing useful feedback to practices about their readiness and potential "interventions." The proposed research will be conducted within 20 primary care practices in CaReNet. Through the use of self-report surveys to measure practice-level readiness, and brief interviews and secondary data to measure each practice's research and translation efforts, we will improve our understanding of factors that affect how well practices adapt to and manage changes involved in conducting and translating research findings into practice.