Implementation Science for Intervention Delivery in Healthcare Settings

医疗保健环境中干预实施的科学

• 批准号: 8602995
• 负责人: Chunqing Lin
• 金额: $ 15.17万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-07-08 至 2018-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8602995
• 关键词: Acquired Immunodeficiency Syndrome; Address; Administrator; Area; Attitude; Behavior; Behavior Therapy; California; Case Study; Centers for Disease Control and Prevention (U.S.); China; Communities; Community Health Centers; Data; Decision Making; Development; Doctor of Philosophy; Effectiveness; Ensure; Epidemiology; Evidence based intervention; Evidence based practice; Future; Gatekeeping; Goals; HIV; Health; Health Policy; Health care facility; Healthcare; Healthcare Systems; Heart; Hospital Administrators; Hospitals; Institutes; Institution; Intervention; Intervention Studies; Intervention Trial; Interview; K-Series Research Career Programs; Knowledge; Lead; Leadership; Life; Los Angeles; Measures; Medical; Mentors; Methodology; Modeling; Outcome; Performance; Phase; Policies; Policy Developments; Policy Maker; Prevention; Principal Investigator; Process; Productivity; Program Effectiveness; Program Sustainability; Provider; Province; Randomized Controlled Trials; Recommendation; Research; Research Activity; Research Design; Research Personnel; Resources; Services; Site; Staging; Structure; Techniques; Training; Translating; Universal Precautions; Universities; analytical tool; base; career; contextual factors; experience; health care delivery; implementation research; implementation science; improved; insight; intervention program; knowledge translation; member; multidisciplinary; phase 1 study; preference; public health relevance; research study; skills; social stigma

DESCRIPTION (provided by applicant): Implementation science examines the efficiency of intervention implementation and to translate the existing efficacious intervention models to real world services. It could potentially enhance the effectiveness and sustainability of the behavioral intervention projects. I received my PhD in epidemiology from the University of California, Los Angeles (UCLA) in 2009. Through my involvement in several large-scale HIV behavioral intervention projects and my doctoral dissertation study, I realized the importance of implementation science in intervention delivery and determined long-term career goal to become an implementation science researcher to bridge the gap between existing knowledge and service delivery. To fill in the gap between my current skill set and the career goal, I will receive training in areas related to implementation science, including health policy, intervention adaptation, and healthcare management. The health policy training will familiarize me with the process of policy development and its influence on the intervention adaptation and implementation; the intervention adaptation courses will inform me with the general concept and framework to design the study ensuring all aspects of intervention implementation are addressed; and the health management training will provide me with analytical tools to model leadership decision making and to evaluate the implementation flow in healthcare settings. The mentor team members, Drs. Li Li, Mary-Jane Rotheram-Borus, Thomas J. Coates and Zunyou Wu, are all internationally reorganized experts in behavioral intervention implementation and adaptation. My institute, the UCLA Semel Center for Community Health (CCH) and the Center for HIV Identification, Prevention, and Treatment Services (CHIPTS), UCLA, provide me with support from a multidisciplinary team of top researchers. Collaborating with the National Center for AIDS/STD Control and Prevention (NCAIDS), China CDC, I will conduct a mentored research using an intervention trial with significant yet heterogeneous outcome to investigate multilevel factors influencing the intervention implementation and outcome, and to find the optimal approach to incorporate the intervention model into the current healthcare settings. The study will be conducted in three phases. Phase 1 will be review of related policies and in-depth interviews with healthcare administrators and hospital directors, with the aim to explore the policy barriers and facilitators in adaptation of the intervention model. Phase 2 will be conjoint analysis with hospital directors to model the decision-making in intervention adaptation and routinization in the healthcare facilities. Phase 3 will be bottleneck analysis to locate structure bottlenecks in compliance with the intervention component. The finding will provide implications for future intervention delivery in healthcare settings. Application of some analytical tools in other fields, including conjoint analysis and bottleneck analysis, will potentially contribute to te development of implementation science methodology. Based on the data achieved from the study, I will prepare for a R01 application in implementation science in Year 4 of the K award period.

描述（由申请人提供）：实施科学检查干预实施的效率并将现有有效的干预模型转化为现实世界的服务。它可能会增强行为的有效性和可持续性 干预项目。我于 2009 年在加州大学洛杉矶分校 (UCLA) 获得流行病学博士学位。通过参与多个大型艾滋病毒行为干预项目和博士论文研究，我意识到实施科学在干预措施中的重要性，并确定了长期职业目标，成为一名实施科学研究人员，以弥合现有知识和服务提供之间的差距。为了填补我目前的技能和职业目标之间的差距，我将接受与实施科学相关领域的培训，包括卫生政策、干预适应和医疗保健管理。卫生政策培训将使我熟悉政策制定的过程及其对干预措施适应和实施的影响；干预适应课程将告诉我设计研究的一般概念和框架，确保干预实施的各个方面都得到解决；健康管理培训将为我提供分析工具来模拟领导决策并评估医疗保健环境中的实施流程。导师团队成员，博士。 Li Li、Mary-Jane Rotheram-Borus、Thomas J. Coates和Zunyou Wu都是行为干预实施和适应方面的国际重组专家。我的研究所，加州大学洛杉矶分校塞梅尔社区健康中心 (CCH) 和加州大学洛杉矶分校艾滋病毒识别、预防和治疗服务中心 (CHIPTS)，为我提供了由顶尖研究人员组成的多学科团队的支持。我将与中国疾病预防控制中心艾滋病/性病预防控制中心（性艾中心）合作，利用具有显着但异质性结果的干预试验进行指导研究，以调查影响干预实施和结果的多层次因素，并找到将干预模式纳入当前医疗保健环境的最佳方法。该研究将分三个阶段进行。第一阶段将审查相关政策，并对医疗管理者和医院院长进行深入访谈，旨在探讨干预模式适应的政策障碍和促进因素。第二阶段将与医院负责人进行联合分析，以对医疗机构的干预适应和常规化决策进行建模。第三阶段将进行瓶颈分析以定位结构 遵守干预措施的瓶颈。这一发现将为未来医疗保健环境中的干预实施提供启示。一些分析工具在其他领域的应用，包括联合分析和瓶颈分析，将可能有助于实施科学方法的发展。根据研究获得的数据，我将在 K 奖励期的第四年准备 R01 实施科学申请。