Research Methods Assessment and Evaluation Core/Ian D. Coulter

该中心将致力于开发一种确定护理是否适合CAM调查的方法。它将极大地推进兰德公司以前开发的方法，包括患者偏好、以患者为中心的结果和经济方面，以及基于有效性、有效性和安全性的专业判断，以确定适宜性。该中心将有四个项目：脊椎疗法治疗慢性颈痛的手法和动员的适宜性；脊椎疗法患者报告的慢性颈痛患者的结果；患者使用脊椎疗法治疗慢性颈痛的决策；将经济学纳入脊椎疗法治疗慢性颈痛的适宜性。每个项目和整个中心的预期结果是，将对调查CAM的方法和提供关于适当使用M/M治疗宫颈问题的证据、患者对护理的偏好、基于患者的宫颈护理结果衡量标准以及有助于确定问题严重程度的不适当护理的成本影响产生影响。 每个项目都使用多种方法。该核心将确保研究和方法建立在最好的现有数据和最佳研究方法的基础上。这些研究还使用了通过一系列定性和定量方法收集的数据，包括焦点小组和认知访谈、调查、结构化访谈和图表审查。该中心组建了一支独一无二的合格团队。已经组建的研究团队也拥有广泛和重叠的研究专业知识。除了他们对具体项目的贡献外，他们还可以为所有项目做出贡献。为了确保将这些专门知识应用于我们提议的每个项目，我们建议在核心部分制定一个研究方法评估和评价核心。这将直接有助于项目之间的交叉受精。它还将有助于每个项目中的方法，确保它们是严格的，并得到实施。核心还将负责记录和报告所使用的方法，并将其出版，因为其目标是改进方法。

Core Description The Center will focus on the development of a method for determining appropriateness of care for the investigation of CAM. It will significantly advance a previously developed method by the RAND Corporation by including patient preferences, patient centered outcomes and economic aspects along with professional judgments based on efficacy, effectiveness and safety in determining appropriateness. The Center will have four Projects: The Appropriateness of Manipulation and Mobilization in Chiropractic for the Treatment of Chronic Cervical Pain; Chiropractic Patient-Reported Outcomes for Chronic Cervical Pain; Decision- Making of Patients in Using Chiropractic for Chronic Cervical Pain; Incorporating Economics into the Appropriateness ofthe Use of Chiropractic Care for Chronic Cervical Pain. It is Expected outcomes from each of the Projects, and the overall center, are that there will be impacts on the methods for investigating CAM and for providing evidence about appropriate use of M/M for cervical problems, patient preferences for care, patient based outcome measures for cervical care and the cost implications of inappropriate care which can contribute to determining the magnitude of the problem. Each of the projects uses multiple methods. This Core will ensure that the studies and methods are built upon the best existing data and the best research methods. The studies also all use data gathered using a range of qualitative and quantitative methods, including focus groups and cognitive interviews, surveys, structured interviews, and chart reviews. The Center has assembled a uniquely qualified team. The research team that has been assembled also has extensive and overlapping research expertise. Apart from their contribution to the specific Projects they can also contribute to all the Projects. To ensure that this expertise is brought to bear on each of the Projects we are proposing to develop, in the Core, a Research Methods Assessment and Evaluation Core. This will contribute directly to the cross fertilization between the Projects. It will also contribute to the methods in each project, assure they are rigorous and that they are implemented. The Core will also be responsible for documenting and reporting the methodologies used and publishing them, as the objective is the advancement of methods.